Individual
MS. SANDRA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4008 PRESTON HWY, LOUISVILLE, KY 40213-1612
(502) 368-1413
Mailing address
736 RUNNING CREEK DR, #5, SHEPHERDSVILLE, KY 40165-6964
(502) 553-2508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
41602
KY
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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