NPI 1477089910

Laser Aesthetics Body and Wellness

Organisation Point of Service Arlington, TN

Practice location

Address: 9755 Highway 64 Suite 101, Arlington, TN 38002-8579
Phone: (901) 388-8887
Fax: (901) 388-8208

Authorised official

Name: Martina Ashmore
Title: Owner
Phone: (901) 388-8887

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence APN0000021037 (TN)

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Registry record

NPI: 1477089910
Entity type: Organization
NPI issued: 3 May 2017
Record last updated: 3 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.