Individual provider · Type 1 NPI

Daisy J. Sparks, LMBT 11742

Massage Therapist · Mooresville, NC

NPI number 1134077993 Active

Practice location

344 Rolling Hill Rd Ste 101D
Mooresville, NC 28117-6865

Mailing address

1919 N Bridge St
Elkin, NC 28621-2140

Other practice locations

  • 1919 N Bridge St, Elkin, NC 28621-2140 · (336) 984-8878

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11742 (NC)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1134077993

Daisy J. Sparks, LMBT 11742's National Provider Identifier is 1134077993, issued on Mar 18, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mooresville, NC. The record was last updated on Mar 18, 2026.