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AXIS REJUVENATION LLC
NPI 1972085371
Clinic/Center in Saint Robert, MO

Active since August 31, 2018
100 BOSA DR STE A, SAINT ROBERT, MO 65584(573) 337-4568(573) 336-2256 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2019, Aug 31, 2018 (2 updates tracked since 2018).

About Axis Rejuvenation Llc NPPES

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

AXIS REJUVENATION LLC (NPI 1972085371) is a healthcare organization registered as a clinic/center in Saint Robert, Missouri and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Saint Robert and lists Daniel Draper, Partner, as its authorized official.

NPPES Registry Identity

NPI1972085371
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAXIS REJUVENATION LLC
Location Address100 BOSA DR STE ASaint Robert, MO 65584-4833
Mailing Address100 Bosa Dr Ste ASaint Robert, MO 65584-4833 · (801) 953-5323 · Fax (801) 336-2256
Phone(573) 337-4568
Fax(573) 336-2256
Organization SubpartNo
Authorized OfficialDaniel DraperPartner · (801) 953-5323
Enumeration DateAugust 31, 2018
Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration
✔ NPI 1972085371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
100 BOSA DR STE A, Saint Robert, MO 65584
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Secondary Practice Location 1

Location 1100 Bosa Dr Ste ASaint Robert, MO 65584-4833 · Phone (801) 953-5323 · Fax (801) 336-2256

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 Axis Rejuvenation LLC's NPI number?

The NPI number for Axis Rejuvenation LLC is 1972085371. It was assigned to this organization in the NPPES registry on August 31, 2018.

Where is Axis Rejuvenation LLC located?

Axis Rejuvenation LLC is located at 100 Bosa Dr Ste A, Saint Robert, MO 65584. The listed phone number is (573) 337-4568.

What is Axis Rejuvenation 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 Axis Rejuvenation LLC was last updated on December 30, 2019. 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.