Rejuv Body & Med Spa LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

REJUV BODY & MED SPA LLC

Practice address

10020 Chester Rd Ste a
Chester, VA 23831-1112

Phone

(804) 635-3065

NPI assigned

Feb 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elisha Coleman, SA

Title

Surgical Assistant/ Massage Therapi

Phone

(804) 536-8539

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1194319616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 SILVER MIST AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 CHESTER RD STE A",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311112",
            "telephone_number": "804-635-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUV BODY & MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT/ MASSAGE THERAPI",
        "authorized_official_telephone_number": "804-536-8539",
        "authorized_official_credential": "SA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.rejuvbodyandmedspa.com/",
            "affiliation": "N",
            "endpointDescription": "Massage Therapy, Aftercare services, In home care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Med Spa",
            "address_1": "1400 Chester Road",
            "address_2": "203",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Chester, VA
• Providers in Chester, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.