OrganizationActive
Live Well Medical Clinic & Spa
NPI 1902208903 · Health Service Clinic/Center · Monterey, TN
Provider details
- NPI number
- 1902208903
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Wilson, Owner(931) 839-6642
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
117 W Commercial Ave
Monterey, TN 38574-1107
Phone: (931) 839-6642
Fax: (931) 839-6643
Approximate (ZIP-level) locationGet directions
Mailing address
117 W Commercial Ave
Monterey, TN 38574-1107
Additional practice locations (1)
- 321 Broad StBaxter, TN 38544-5117Phone: (931) 839-6642Fax: (931) 839-6643
Registry dates
- Enumerated
- 2014-09-22
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.