NPIMap

Organization Active NPI

Cannon Sparks Massage LLC

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1659690238
Registry record updated May 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CANNON SPARKS MASSAGE LLC
Practice address
3209 E 57TH Ave
Spokane, WA 99223-7040
Phone
(509) 448-9398
Fax
(509) 315-8354
NPI assigned
May 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Sparks
Title
Owner
Phone
(509) 448-9398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3209 E 57TH Ave
Spokane, WA 99223-7040

Mailing address

3209 E 57TH Ave
Spokane, WA 99223-7040
Phone (509) 448-9398

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

3209 E 57th Ave
Spokane, WA 99223
Phone (509) 448-9398

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274486400000",
    "number": "1659690238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237040",
            "telephone_number": "509-448-9398",
            "fax_number": "509-315-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237040",
            "telephone_number": "509-448-9398",
            "fax_number": "509-315-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON SPARKS MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-448-9398"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.