Organization · Type 2 NPI

Collective Health Spa, PLLC

Nutrition Education Nutritionist · Olympia Fields, IL

NPI number 1891567863 Active

Practice location

19900 Governors Dr # LL-14
Olympia Fields, IL 60461-1057

Fax (855) 487-0292

Specialties and licenses

Taxonomy	Code	License
Nutrition Education Nutritionist Primary	133NN1002X	None listed

Nutrition Education Nutritionist: Definition to come...

NPI record

NPI: 1891567863
Entity type: Organization (Type 2)
Issued: Oct 24, 2023
Last updated: Jan 2, 2024
Status: Active
Subpart: Yes of Collective Health Spa, PLLC

Other names

Collective Health Spa, PLLC · former legal business name

Authorized official

Toya Lynn Beattie, PBT
Manager
(708) 372-0508

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About NPI 1891567863

Collective Health Spa, PLLC's National Provider Identifier is 1891567863, issued on Oct 24, 2023. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Olympia Fields, IL. The record was last updated on Jan 2, 2024.