Individual provider · Type 1 NPI
Beau William Sparks, DC
Chiropractor · Liberty Lake, WA
NPI number
1265075964
Active
Practice location
1421 N Meadowwood Ln Ste 80
Liberty Lake, WA 99019-6021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6035 (OR) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1265075964
Beau William Sparks, DC's National Provider Identifier is 1265075964, issued on Oct 25, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Liberty Lake, WA. The record was last updated on Dec 18, 2023.