OrganizationActive
Spark of Life, LLC
NPI 1093426132 · Massage Therapist · Woodburn, OR
Provider details
- NPI number
- 1093426132
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tamara Hammack, Director/Owner(971) 707-2506
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
564 Ray J Glatt Circle
Woodburn, OR 97071
Phone: (971) 707-2506
Street-level locationGet directions
Mailing address
Po Box 337
Woodburn, OR 97071-0337
Registry dates
- Enumerated
- 2022-12-09
- Last updated
- 2022-12-09
- Certified
- 2022-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.