Provider Demographics
NPI:1770228975
Name:AMBERS THERAPEUTIC MASSAGE
Entity Type:Organization
Organization Name:AMBERS THERAPEUTIC MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARGUR
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:727-325-3090
Mailing Address - Street 1:7124 CASTANEA DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-3857
Mailing Address - Country:US
Mailing Address - Phone:727-325-3090
Mailing Address - Fax:815-614-3369
Practice Address - Street 1:7124 CASTANEA DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3857
Practice Address - Country:US
Practice Address - Phone:727-325-3090
Practice Address - Fax:815-614-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty