Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JALISA L SPY
Active Sole ProprietorJALISA L SPY is a Prosthetic/Orthotic Supplier healthcare provider located in MARIETTA, Georgia. NPI 1679140826 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · MARIETTA, GA
Registration Details
- NPI Number
- 1679140826
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2021 (5.2175539407702 yrs)
- Last Updated
- Aug 1, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1860 SANDY PLAINS RD STE 204MARIETTA, GA, 300667864Browse GA providers · Browse ZIP 30066
- Phone
- 6149993665
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.