| NPI | 1235642745 |
|---|---|
| Doing Business As | SPARK CHIROPRACTIC AND ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | MARYANN GENESS Sole Proprietor 541-324-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3770) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC160346) |
| 225700000X Massage Therapist (Licence: OR 3762) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |