The Spa 1 Llc

NPI 1235264383 - Naturopath - 175F00000X

NPI Details
NPI 1235264383
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL DALE MICHAEL
Position MGR
Phone (270) 886-7721
Fax
Practice Location
929 SKYLINE DR
HOPKINSVILLE KY, 42240-5098, US
Phone (270) 886-7721
Fax
Business Location
929 SKYLINE DR
HOPKINSVILLE KY, 42240-5098, US
Phone (270) 886-7721
Fax
Toxanomy
Taxonomy Code 175F00000X
License State Kentucky
License Number KY0196
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According to our database, The Spa 1 Llc NPI is 1235264383, taxonomy code is 175F00000X and license number is KY0196, license state is located at Kentucky. The Spa 1 Llc physically located at 929 Skyline Dr, Hopkinsville KY, 42240-5098. NPI Number 1033115704 has the healthcare provider type.

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1235264383 NPI number is provided on an as is basis without warranty of any kind. 1235264383 is maintained by the National Plan & Provider Enumeration System. The contents of The Spa 1 Llc are for informational purposes only.