NPI 1235264383
The Spa 1 LLC
Practice location
- Address
- 929 Skyline Dr, Hopkinsville, KY 42240-5098
- Phone
- (270) 886-7721
Authorised official
- Name
- Michael Dale Grise
- Title
- Mgr
- Phone
- (270) 886-7721
Registered specialties
Naturopath
Primary
Registry record
- NPI
- 1235264383
- Entity type
- Organization
- NPI issued
- 22 Feb 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.