Healthcare Provider Details

I. General information

NPI: 1043417272
Provider Name (Legal Business Name): DANIELLE R SZPARA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 PALM COAST PKWY SW UNIT 4
PALM COAST FL
32137-4770
US

IV. Provider business mailing address

75 PANORAMA DR
PALM COAST FL
32164-7511
US

V. Phone/Fax

Practice location:
  • Phone: 386-627-3637
  • Fax:
Mailing address:
  • Phone: 386-627-3637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA-28590
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: