Provider Demographics
NPI:1356898936
Name:NEW YOU HEALTH AND SPA LLC
Entity type:Organization
Organization Name:NEW YOU HEALTH AND SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ALISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-427-3760
Mailing Address - Street 1:100 WOODLAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROLAND
Mailing Address - State:OK
Mailing Address - Zip Code:74954-5213
Mailing Address - Country:US
Mailing Address - Phone:918-427-3760
Mailing Address - Fax:
Practice Address - Street 1:100 WOODLAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:ROLAND
Practice Address - State:OK
Practice Address - Zip Code:74954-5213
Practice Address - Country:US
Practice Address - Phone:918-427-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAYLOR & FISHER MEDICAL MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-01
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty