Individual provider · Type 1 NPI
Jalisa L. Spy
Prosthetic/Orthotic Supplier · Marietta, GA
Practice location
1860 Sandy Plains Rd Ste 204
Marietta, GA 30066-7864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
3 other providers at this address
About NPI 1679140826
Jalisa L. Spy's National Provider Identifier is 1679140826, issued on Jun 7, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Marietta, GA. The record was last updated on Aug 1, 2025.