# AESTHETIC LUXURY SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AESTHETIC LUXURY SPA LLC
- **Other names:** AESTHETIC LUXURY SPA, AESTHETIC LUXURY SPA LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043089733
- **Legal business name:** AESTHETIC LUXURY SPA LLC
- **Authorized official:** CHRISTOPHE ALEXANDER DO (DO)
- **Authorized official phone:** (816) 200-2409

## Contact information

- **Practice address:** 2301 TROOST AVE, STE 101, KANSAS CITY, MO 64108
- **Practice address phone:** (816) 200-2409
- **Practice address fax:** (816) 320-0028
- **Mailing address:** 2301 TROOST AVE, STE 101, KANSAS CITY, MO 64108
- **Mailing address phone:** (816) 200-2409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 163WG0000X | General Practice Registered Nurse | — | NULL | — |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 02/07/2024