Amanda Mitchell

LBN: Amanda'S Mini Day Spa
Amanda Mitchell is an health care organization with primary practice located at 510 E Chain Of Rocks Rd , Granite City IL 62040-2803. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Amanda'S Mini Day Spa can be contacted via phone (314) 467-0766, or through Mitchell, Amanda via phone (618) 531-7325.

Contact Information

Primary practice address
510 E Chain Of Rocks Rd Granite City IL 62040-2803
Phone: (314) 467-0766
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Amanda LMT
Phone: (618) 531-7325

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 001010642 Illinois

Profile Details

NPI number 1750770988
LBN Legal business name Amanda'S Mini Day Spa
DBA Doing business as Amanda Mitchell
Authorized official Mitchell, Amanda LMT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2015
Last updated Jan 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750770988 NPPES
Illinois Other 001010642 MASSAGE THERAPIST

Popular Providers