Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1891567863 |
| LBN Legal business name | COLLECTIVE HEALTH SPA, PLLC |
| Authorized official | TOYA BEATTIE - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/24/2023 |
| Last updated | 01/02/2024 - About 2 years ago |
| Identifiers | n/a |
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