Spark Med Spa, LLC
Spark Med Spa, LLC is a Health Service Clinic/Center in Hayden, Idaho. Works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8027 N Government Way Ste 106Hayden, ID 83835
Phone: (208) 241-9422
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1352 E Center St Ste B, Pocatello, ID 83201-4702 — (208) 241-9942
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1376246884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Spark Med Spa, LLC |
| Authorized official | Robbie Garrett — Co-Owner/Director · (208) 251-2660 |
| Other names | Spark Med Spa; Spark Med Spa |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | May 28, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | Po Box 1021, Athol, ID 83801-6009 |
Other providers in Hayden
-
1st Clinic
265 W Prairie Shopping Ctr, Hayden, ID 83835-9855 · (208) 772-7850