Organization
CREATIVE WELLNESS, LLC
Active
Other names
Advanced Laser Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HARASHA DC (OWNER)
(314) 961-8940
Entity
Organization
Contact information
Practice address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(314) 961-8969
Mailing address
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-8940
(143) 961-8969
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2000165042
MO
Other
Enumeration date
03/21/2017
Last updated
06/04/2020
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