| NPI | 1689489437 |
|---|---|
| Doing Business As | SPAVIA FISHERS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANDREW SMITH General Partner 219-201-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |