Individual
MS. DAISY J SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT 11742
Contact information
Practice address
344 ROLLING HILL RD STE 101D, MOORESVILLE, NC 28117-6865
(336) 984-8878
Mailing address
1919 N BRIDGE ST, ELKIN, NC 28621-2140
(336) 984-8878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11742
NC
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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