NPI 1043089733 · live from the CMS NPI Registry
Aesthetic Luxury Spa LLC
Clinic/Center in Kansas City, MO. National Provider Identifier 1043089733, active.
NPI record
| NPI | 1043089733 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 2301 Troost Ave, Ste 101, Kansas City, MO 64108 |
| Practice phone | 816-200-2409 |
| Enumerated | December 22, 2023 |
| Last updated | February 7, 2024 |
| Authorized official | Christophe Alexander, DO |
| Other names | Aesthetic Luxury Spa LLC; Aesthetic Luxury Spa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | — |
| Registered Nurse, General Practice | 163WG0000X | — |
| Clinic/Center, Recovery Care | 261QR0800X | — |
| Clinic/Center primary | 261Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.