Healthcare Provider Details

I. General information

NPI: 1689590937
Provider Name (Legal Business Name): NAY'S SPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 N BRANCH ST
WABENO WI
54566-9078
US

IV. Provider business mailing address

4520 N BRANCH ST
WABENO WI
54566-9078
US

V. Phone/Fax

Practice location:
  • Phone: 715-473-7031
  • Fax:
Mailing address:
  • Phone: 715-473-7031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: RENEE MARIE CERA
Title or Position: NON-INVASIVE THERAPY ADMIN
Credential: NIPTA
Phone: 715-473-7031