The Spa 1 LLC
NPI #1235264383 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1235264383
- Entity Type
- Organization
- Organization Name
- The Spa 1 LLC
- Primary Specialty
- Naturopath
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 929 SKYLINE DR
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42240-5098
- Phone
- (270) 886-7721
Authorized Official
- Name
- MICHAEL DALE GRISE, LMT, LE
- Title
- MGR
- Phone
- (270) 886-7721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Naturopath |
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