MISS Jenna L Sparks, LMT

NPI #1194041061 in Peoria, Arizona

Provider Information

NPI Number: 1194041061
Entity Type: Individual
Name: MISS Jenna L Sparks, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 15, 2010
Last Updated: Apr 15, 2010

Practice Location

Address: 9191 W THUNDERBIRD RD STE 108
City: Peoria
State: Arizona
ZIP Code: 85381-4270
Phone: (623) 974-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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