institution
Spark Med Spa, Llc
Health Service Clinic/Center in Athol, Idaho
NPI 1376246884

Spark Med Spa, Llc is a Health Service Clinic/Center based in Athol, ID and is specialized in Health Service. Spark Med Spa, Llc practices in Athol, ID. The NPI Number for Spark Med Spa, Llc is 1376246884 and holds a License No. (Idaho).

The current practice location address for Spark Med Spa, Llc is 33616 N Sheep Springs Rd, Athol, ID and can be reached out via phone at 208-241-9422.

Location: 33616 N Sheep Springs Rd, Athol, ID, 83801-6009
institution
Provider Profile Details
NPI Number
1376246884
Provider Name
Spark Med Spa, Llc
Credential
Provider Entity Type
Organization
Address
33616 N Sheep Springs Rd, Athol, ID, 83801-6009
Phone Number
208-241-9422
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
33616 N Sheep Springs Rd
City
State
Zip
83801-8306
Phone Number
208-241-9422
Fax Number
person
Provider Business Mailing Address Details
Address
33616 N Sheep Springs Rd
City
State
Zip
83801-8306
Phone Number
208-241-9422
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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