Organization
CANNON SPARKS MASSAGE LLC
Active
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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