Healthcare Provider Details

I. General information

NPI: 1922943190
Provider Name (Legal Business Name): KATIE SPATA WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5872 US 202
LAHASKA PA
18931
US

IV. Provider business mailing address

211 HANCOCK ST
LAMBERTVILLE NJ
08530-2330
US

V. Phone/Fax

Practice location:
  • Phone: 908-670-0564
  • Fax:
Mailing address:
  • Phone: 908-670-0564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN SPATA
Title or Position: OWNER
Credential:
Phone: 908-670-0564