Individual
CAITLIN RILEY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315 S KOBUK ST STE B, SOLDOTNA, AK 99669-7842
(907) 420-0820
Mailing address
310 STERLING CT, KENAI, AK 99611-6844
(907) 953-0430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101837
AK
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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