Individual
MRS. TAMMIE R SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6313 W LAKE POWELL CIR, WEST JORDAN, UT 84081-4691
(801) 244-6117
Mailing address
6313 W LAKE POWELL CIR, WEST JORDAN, UT 84081-4691
(801) 244-6117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4744832-4701
UT
Other
Enumeration date
05/04/2021
Last updated
05/10/2021
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