Organization
HD ENTERPRISES
Active
Other names
Spark Rehab & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON COMPTON SECK (OWNER)
(972) 658-3582
Entity
Organization
Contact information
Practice address
123 SW COLUMBIA ST STE 100, BEND, OR 97702-3609
(541) 241-3061
(541) 243-1313
Mailing address
70 SW CENTURY DR STE 100-362, BEND, OR 97702-3557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/31/2021
Last updated
04/14/2026
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