Provider Demographics
NPI:1922550573
Name:AURAAESTHETIC INSTITUTE
Entity Type:Organization
Organization Name:AURAAESTHETIC INSTITUTE
Other - Org Name:CURRENTS SPA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHITTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-318-5027
Mailing Address - Street 1:12500 W 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1103
Mailing Address - Country:US
Mailing Address - Phone:303-900-3864
Mailing Address - Fax:
Practice Address - Street 1:12500 W 58TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1103
Practice Address - Country:US
Practice Address - Phone:303-900-3864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service