Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jai Restorative Aesthetics

Organization Other Specialist/Technologist · NPI 1184486003

Jai Restorative Aesthetics is an Other Specialist/Technologist in St Louis Park, Minnesota. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5808A W 36th St
St Louis Park, MN 55416-5108
Phone: (612) 636-1808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5451 Lyndale Ave S, Minneapolis, MN 55419-1717 — (612) 636-1808

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1184486003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Williams — Billing Manger · (407) 982-4876
NPI enumeratedJanuary 25, 2024
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address5808a W 36th St, St Louis Park, MN 55416-5108