Organization
CANNON SPARKS MASSAGE LLC
Active
Other names
Elements Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SPARKS (OWNER)
(509) 448-9398
Entity
Organization
Contact information
Practice address
3209 E 57TH AVE, SPOKANE, WA 99223-7040
(509) 448-9398
(509) 315-8354
Mailing address
3209 E 57TH AVE, SPOKANE, WA 99223-7040
(509) 448-9398
(509) 315-8354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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