Organization · Type 2 NPI
Jai Restorative Aesthetics
Other Specialist/Technologist · St. Louis Park, MN
NPI number
1184486003
Active
Practice location
5808A W 36th St
St. Louis Park, MN 55416-5108
Other practice locations
- 5451 Lyndale Ave S, Minneapolis, MN 55419-1717 · (612) 636-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1184486003
Jai Restorative Aesthetics's National Provider Identifier is 1184486003, issued on Jan 25, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Aug 29, 2025.