Individual provider · Type 1 NPI

Colin Peter Sparks, LMT

Massage Therapist · Madison, WI

NPI number 1689218752 Active

Practice location

8202 Excelsior Dr
Madison, WI 53717-1906

Call (608) 831-1766 Map

Fax (608) 831-1562

Mailing address

3637 Alpine Rd
Madison, WI 53704-2201

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14944-146 (WI)

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 1689218752

Colin Peter Sparks, LMT's National Provider Identifier is 1689218752, issued on Nov 1, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Madison, WI. The record was last updated on Nov 1, 2019.