Sky Sport Spa
NPI #1396806378 in Beverly Hills, California
Provider Information
- NPI Number
- 1396806378
- Entity Type
- Organization
- Organization Name
- Sky Sport Spa
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8500 WILSHIRE BLVD
- Address 2
- PENTHOUSE
- City
- Beverly Hills
- State
- California
- ZIP Code
- 90211-3121
- Phone
- (310) 652-7721
Authorized Official
- Name
- JACKIE WADELL
- Title
- OWNER
- Phone
- (310) 652-7721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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