Provider Demographics
NPI:1245973973
Name:ABOVE AND BEYOND SPA
Entity type:Organization
Organization Name:ABOVE AND BEYOND SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:256-394-0911
Mailing Address - Street 1:3907 HUSSEY RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32443-2117
Mailing Address - Country:US
Mailing Address - Phone:256-394-0911
Mailing Address - Fax:
Practice Address - Street 1:3907 HUSSEY RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:FL
Practice Address - Zip Code:32443-2117
Practice Address - Country:US
Practice Address - Phone:256-394-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty