JALISA L SPY NPI 1679140826

NPI Information

  • NPI: 1679140826
  • Provider Name: JALISA L SPY
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Individual
  • Address: 1860 SANDY PLAINS RD STE 204
    MARIETTA, GA
    ZIP 30066
  • Phone: (614) 999-3665

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NPI Details

Jalisa L Spy is a prosthetic orthotic supplier in Marietta, GA. The provider is 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. Jalisa L Spy NPI is 1679140826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1860 SANDY PLAINS RD STE 204
MARIETTA, GA
ZIP 30066-864
Phone: (614) 999-3665

The enumeration date for this NPI number is 6/7/2021 and was last updated on 8/1/2025.

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
1335E00000XProsthetic/Orthotic SupplierYes

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: 11/21/2025

NPI Synchronization or Removal

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