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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11742 (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.