Healthcare Provider Details

I. General information

NPI: 1306756721
Provider Name (Legal Business Name): PERPETUAL HEALTH LLC DBA SKYN WEIGHT LOSS AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S GLENSTONE AVE
SPRINGFIELD MO
65804-1407
US

IV. Provider business mailing address

1515 S GLENSTONE AVE
SPRINGFIELD MO
65804-1407
US

V. Phone/Fax

Practice location:
  • Phone: 417-833-1100
  • Fax:
Mailing address:
  • Phone: 417-833-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLEE YASSA
Title or Position: OWNER
Credential: DO
Phone: 427-833-1100