Individual
TERESA M SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2019 GALISTEO ST STE H2, SANTA FE, NM 87505-2106
(505) 753-7576
Mailing address
PO BOX 1777, SANTA CRUZ, NM 87567-1777
(505) 629-3331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2025-0157
NM
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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