Individual
LINDSAY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
3459 ACWORTH DUE WEST RD NW STE 210, ACWORTH, GA 30101-5826
(770) 595-1130
Mailing address
4107 TELHURST PL NW, KENNESAW, GA 30144-1275
(770) 595-1130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012149
GA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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