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ADVANCED LASER THERAPY AND WELLNESS
NPI 1609307776
Clinic/Center in Saint Louis, MO

Active since March 21, 2017
2558 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144(314) 961-8940(314) 961-8969 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, Mar 21, 2017 (2 updates tracked since 2017).

About Advanced Laser Therapy And Wellness NPPES

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

ADVANCED LASER THERAPY AND WELLNESS (NPI 1609307776) is a healthcare organization registered as a clinic/center in Saint Louis, Missouri and active in the NPI registry since March 2017. The organization lists Brian Harasha, Owner, as its authorized official.

NPPES Registry Identity

NPI1609307776
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCREATIVE WELLNESS, LLC
Location Address2558 S BRENTWOOD BLVDSaint Louis, MO 63144-2309
Mailing Address2558 S Brentwood BlvdSaint Louis, MO 63144-2309 · (314) 961-8940 · Fax (143) 961-8969
Phone(314) 961-8940
Fax(314) 961-8969
Organization SubpartNo
Authorized OfficialBrian HarashaOwner · (314) 961-8940
Enumeration DateMarch 21, 2017
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1609307776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 2000165042
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2558 S BRENTWOOD BLVD, Saint Louis, MO 63144
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Other Names 1

Doing Business AsAdvanced Laser Therapy And Wellness

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENTWOOD PHYSICAL THERAPY LIMITED
Clinic/Center (Physical Therapy)
2558 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 961-8940
ROBERT SHAWN TUCKER P.T.
Physical Therapist
2558 S BRENTWOOD BLVD, #1 BRENTWOOD PHYSICAL THERAPY
ST. LOUIS, MO 63144
St. Louis County (314) 961-8940
DR. BRIAN J HARASHA D.C.
Chiropractor
2558 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 961-8940
HANNAH STEELE DPT
Physical Therapist
2558 S BRENTWOOD BLVD
BRENTWOOD, MO 63144
St. Louis County (314) 329-7476
TODD ALLEN OLESON
Physical Therapy Assistant
2558 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 961-8940

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 Creative Wellness, LLC's NPI number?

The NPI number for Creative Wellness, LLC is 1609307776. It was assigned to this organization in the NPPES registry on March 21, 2017. The provider is doing business as Advanced Laser Therapy And Wellness.

Where is Creative Wellness, LLC located?

Creative Wellness, LLC is located at 2558 S Brentwood Blvd, Saint Louis, MO 63144. The listed phone number is (314) 961-8940.

What is Creative Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Creative Wellness, LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.