Organization · NPI-2

Aesthetic Luxury Spa LLC

Clinic/Center · Kansas City, MO

NPI number1043089733

StatusActive

Last updated in NPPESFeb 7, 2024

Details

NPI: 1043089733
Entity type: Organization (NPI-2)
Legal business name: Aesthetic Luxury Spa LLC
Organization subpart: Yes
Enumeration date: Dec 22, 2023
Certification date: Feb 7, 2024
Last updated: Feb 7, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes
133V00000X	Dietitian, Registered	–	–
163WG0000X	Registered Nurse, General Practice	–	–
261QR0800X	Clinic/Center, Recovery Care	–	–

Other names

Aesthetic Luxury Spa LLC (Doing Business As)
Aesthetic Luxury Spa (Doing Business As)

Practice location

2301 Troost Ave
Ste 101
Kansas City, MO 64108

Phone 816-200-2409 · Fax 816-320-0028

Mailing address

2301 Troost Ave
Ste 101
Kansas City, MO 64108

Phone 816-200-2409

Other practice locations

417 Sw Ward Rd Ste 101
Lees Summit, MO 64081-2448

Phone 816-200-2409 · Fax 816-320-0028

Authorized official

Christophe Alexander
DO
8162002409

Is something wrong?

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