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Organization
SPARKS MASSAGE LLC-DBA ELEMENTS MASSSAGE
Active
Organization
SPARKS MASSAGE LLC-DBA ELEMENTS MASSSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISIAH AARON DEAN HOWARD-MIDDLETON LMP (MASSAGE THERAPIST)
(509) 710-5461
Entity
Organization
Contact information
Practice address
101 E. HASTINGS RD., SPOKANE, WA 99218
(506) 340-3303
Mailing address
101 E HASTINGS RD, SPOKANE, WA 99218-4901
(509) 340-3303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60026751
WA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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