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Organization
AESTHETIC LUXURY SPA LLC
Active
Organization
AESTHETIC LUXURY SPA LLC
Active
Parent organization
AESTHETIC LUXURY SPA LLC
Other names
AESTHETIC LUXURY SPA, AESTHETIC LUXURY SPA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AESTHETIC LUXURY SPA LLC
Authorized official
CHRISTOPHE ALEXANDER DO (DO)
(816) 200-2409
Entity
Organization
Contact information
Practice address
2301 TROOST AVE, STE 101, KANSAS CITY, MO 64108
(816) 200-2409
(816) 320-0028
Mailing address
2301 TROOST AVE, STE 101, KANSAS CITY, MO 64108
(816) 200-2409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
163WG0000X
General Practice Registered Nurse
—
NULL
163WG0000X
General Practice Registered Nurse
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QR0800X
Recovery Care Clinic/Center
—
NULL
Other
Enumeration date
12/22/2023
Last updated
02/07/2024
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