Moxie Medispa LLC
Clinic/Center in Menomonee Falls, WI. Organization (NPI-2).
NPI number1750177481
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1750177481
- Entity type
- Organization (NPI-2)
- Legal business name
- Moxie Medispa LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2025
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
N72w13350 Lund LnMenomonee Falls, WI 53051-4674
Phone 262-350-9888
Mailing address
N72w13350 Lund LnMenomonee Falls, WI 53051-4674
Phone 262-350-9888
Authorized official
Alex Amanda Foley
Founder
4143225643
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