Organization
GRAND RESORT & SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HICKS (OWNER)
(304) 888-2694
Entity
Organization
Contact information
Practice address
41 PIPESTEM SPA WAY, PIPESTEM, WV 25979-8700
(304) 922-7572
Mailing address
41 PIPESTEM SPA WAY, PIPESTEM, WV 25979-8700
(304) 922-7572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821987850
MASSAGE THERAPY
WV
Enumeration date
08/08/2025
Last updated
08/13/2025
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