Provider Type Icon

SPARK OF LIFE LLC NPI 1093426132


NPI Information

NPI: 1093426132
Provider Name: SPARK OF LIFE, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
564 RAY J GLATT CIRCLE
WOODBURN, OR
ZIP 97071
Phone: (971) 707-2506
Get Directions

SPARK OF LIFE, LLC is a massage therapist in Woodburn, OR. The provider is 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. SPARK OF LIFE, LLC NPI is 1093426132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

564 RAY J GLATT CIRCLE
WOODBURN, OR
ZIP 97071
Phone: (971) 707-2506

The provider's authorized official is Tamara J Hammack .
The authorized official title is Director/owner and has the following contact phone number (971) 707-2506.

The enumeration date for this NPI number is 12/9/2022 and was last updated on 12/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.