Simpelo Medi-Spa
Massage Therapist in Potosi, MO. Organization (NPI-2).
NPI number1124290705
StatusActive
Last updated in NPPESMar 24, 2008
Details
- NPI
- 1124290705
- Entity type
- Organization (NPI-2)
- Legal business name
- Simpelo Medi-Spa
- Organization subpart
- No
- Enumeration date
- Mar 24, 2008
- Last updated
- Mar 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | LC0879401 | MO | Yes |
Practice location
25 Southtowne DrPotosi, MO 63664-5729
Phone 573-436-1200
Mailing address
25 Southtowne DrPotosi, MO 63664-5729
Phone 573-436-1200
Authorized official
Rustico Villanueva Simpelo
Owner
5734361200
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