SearchHawaii171100000X

Bryon Sparks, LIC. AC

NPI 1801120332 · on the registry since 2009 · sole proprietor

Practice

Address
2045 Main St
Wailuku, HI 96793
Phone
(808) 205-8454
Organisation at this address
Massage Therapy
Longevity Health Center, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii