Individual provider · Type 1 NPI

Jenna L. Sparks, LMT

Massage Therapist · Peoria, AZ

NPI number 1194041061 Active

Practice location

9191 W Thunderbird Rd Ste 108
Peoria, AZ 85381-4270

Call (623) 974-3511 Map

Fax (623) 444-9741

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-08278 (AZ)

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 1194041061

Jenna L. Sparks, LMT's National Provider Identifier is 1194041061, issued on Apr 15, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Peoria, AZ. The record was last updated on Apr 15, 2010.