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NPI Code Detail

MEDICARE: FIND YOUR SPACE THE ULTIMATE SPA

MEDICARE: FIND YOUR SPACE THE ULTIMATE SPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1255265971
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIND YOUR SPACE THE ULTIMATE SPA
Provider Business Mailing Address
First Line : 3240 S COBB DR SE STE 850
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4196
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3240 S COBB DR SE STE 850
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4196
Country : US
Telephone Number : 678-632-2326
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEXANDRIA PHILLIPS
Credential :
Telephone Number : 678-632-2326
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “FIND YOUR SPACE THE ULTIMATE SPA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.