Organization
SPARKS MASSAGE LLC
Active
Other names
Elements Therapeutic Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN SPARKS (OFFICE MANAGER)
(509) 340-3303
Entity
Organization
Contact information
Practice address
101 E HASTINGS RD, SPOKANE, WA 99218-3607
(509) 340-3303
Mailing address
101 E HASTINGS RD, SPOKANE, WA 99218-3607
(509) 340-3303
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA60058182
WA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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