Individual provider · Type 1 NPI

Frieda G. Sparks, LMT

Massage Therapist · St. Augustine, FL

NPI number 1164552980 Active

Practice location

10-G St Johns Medical Park Dr
St. Augustine, FL 32086

Call (904) 794-0507 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA0025687 (FL)

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 1164552980

Frieda G. Sparks, LMT's National Provider Identifier is 1164552980, issued on Mar 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.