Healthcare Provider Details

I. General information

NPI: 1255251922
Provider Name (Legal Business Name): D & R SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5709 STATE ST UNIT B
SAGINAW MI
48603-3432
US

IV. Provider business mailing address

5709 STATE ST UNIT B
SAGINAW MI
48603-3432
US

V. Phone/Fax

Practice location:
  • Phone: 989-788-8600
  • Fax:
Mailing address:
  • Phone: 989-788-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARIA BUKO
Title or Position: GENERAL MANAGER
Credential:
Phone: 989-798-3384