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SO ESTHEVA WELLNESS MEDSPA LLC
NPI 1124881693
Clinic/Center - Health Service in Wooster, OH

Active since February 06, 2024
5730 CLEVELAND RD, WOOSTER, OH 44691(330) 846-4100 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About So Estheva Wellness Medspa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SO ESTHEVA WELLNESS MEDSPA LLC (NPI 1124881693) is a healthcare organization registered as a health service in Wooster, Ohio and active in the NPI registry since February 2024. The organization lists Olivia Nicole Lust, Co-owner/provider, as its authorized official.

NPPES Registry Identity

NPI1124881693
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSO ESTHEVA WELLNESS MEDSPA LLC
Location Address5730 CLEVELAND RDWooster, OH 44691-1146
Mailing Address1447 Rumbaugh CirWooster, OH 44691-3009 · (306) 352-7823
Phone(330) 846-4100
Organization SubpartNo
Authorized OfficialOlivia Nicole LustCo-owner/provider · (330) 635-2782
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1124881693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
5730 CLEVELAND RD, Wooster, OH 44691
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is So Estheva Wellness Medspa LLC's NPI number?

The NPI number for So Estheva Wellness Medspa LLC is 1124881693. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is So Estheva Wellness Medspa LLC located?

So Estheva Wellness Medspa LLC is located at 5730 Cleveland Rd, Wooster, OH 44691. The listed phone number is (330) 846-4100.

What is So Estheva Wellness Medspa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for So Estheva Wellness Medspa LLC was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.