Vitality Spa LLC
Vitality Spa LLC is a healthcare organization registered as Medical Specialty Clinic/Center in Keizer, OR, holding Type 2 (organization) NPI 1417835232 since 2025. The authorized official on file is Paul Garcia, Owner/Advanced Aesthetician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417835232 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vitality Spa LLC |
| Practice address | 4380 CHERRY AVE NE, Keizer, OR, 97303 |
| Phone | 5034797111 |
| Enumeration date | 2025-08-21 |
| Last updated in NPPES | 2025-08-21 |
Authorized official
| Name | Paul Garcia |
|---|---|
| Title | Owner/Advanced Aesthetician |
| Phone | 5034797111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Vitality Spa LLC NPI: 1417835232 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 4380 CHERRY AVE NE, Keizer, OR, 97303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710483466 | Cassandra Aglietti | Individual | Clinical Social Worker | Keizer, OR |
| 1023870839 | Nancy Yankovic | Individual | Adult Health Nurse Practitioner | Keizer, OR |
| 1992526065 | Evergreen Therapy & Trauma Services | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Keizer, OR |
| 1316825128 | Paul Garcia | Individual | Other Technician | Keizer, OR |
Verify this record
Cross-check NPI 1417835232 against the authoritative CMS record: view Vitality Spa LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Vitality Spa LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-21.