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Celia A Sparks, L.M.P

Massage Therapist in Longview, WA. Individual provider (NPI-1).

NPI number1568681237
StatusActive
Last updated in NPPESNov 6, 2008

Details

NPI
1568681237
Entity type
Individual (NPI-1)
Name
Celia A Sparks
Credential
L.M.P
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 24, 2007
Last updated
Nov 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist602868651WAYes

Practice location

1060 Hudson St
Longview, WA 98632-3103

Phone 360-423-2037

Mailing address

7403 Willow Grove Rd
Longview, WA 98632-9236

Phone 360-560-0921

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