GRAND RESORT & SPA LLC NPI 1588549596

NPI Information

  • NPI: 1588549596
  • Provider Name: GRAND RESORT & SPA LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 41 PIPESTEM SPA WAY
    PIPESTEM, WV
    ZIP 25979
  • Phone: (304) 922-7572

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NPI Details

GRAND RESORT & SPA LLC is a massage therapist in Pipestem, WV. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. GRAND RESORT & SPA LLC NPI is 1588549596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41 PIPESTEM SPA WAY
PIPESTEM, WV
ZIP 25979-700
Phone: (304) 922-7572

The provider's authorized official is Brandon Hicks .
The authorized official title is Owner and has the following contact phone number (304) 888-2694.

The enumeration date for this NPI number is 8/8/2025 and was last updated on 8/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11821987850OTHERWEST VIRGINIAMASSAGE THERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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