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Frieda G Sparks, LMT
Massage Therapist in St Augustine, Florida
NPI 1164552980

Frieda G Sparks is a Massage Therapist based in St Augustine, FL. Frieda G Sparks practices in St Augustine, FL and has the professional credentials of LMT. The NPI Number for Frieda G Sparks is 1164552980 and holds a License No. MA0025687 (Florida).

The current practice location address for Frieda G Sparks is 10-G St Johns Medical Park Dr, St Augustine, FL and can be reached out via phone at 904-794-0507.

Location: 10-G St Johns Medical Park Dr, St Augustine, FL, 32086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164552980
Provider Name
Frieda G Sparks
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
10-G St Johns Medical Park Dr, St Augustine, FL, 32086
Phone Number
904-794-0507
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10-G St Johns Medical Park Dr
City
St Augustine
State
Florida
Zip
32086
Phone Number
904-794-0507
Fax Number
person
Provider Business Mailing Address Details
Address
10-G St Johns Medical Park Dr
City
St Augustine
State
Florida
Zip
32086
Phone Number
904-794-0507
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA0025687 (Florida)
Definition
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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