HomeNPI Verification

NPI Verification

National Provider Identifier: 1770160269

Ageless Living Institute LLC

Organization

Primary Specialty

Physician Assistant, Medical

Code: 363AM0700X

All Specialties (7)

Internal Medicine

Code: 207R00000X

Neurological Surgery

Code: 207T00000X

Physical Medicine & Rehabilitation

Code: 208100000X

Physical Medicine & Rehabilitation, Pain Medicine

Code: 2081P2900X

Physician Assistant

Code: 363A00000X

Physician Assistant, Surgical

Code: 363AS0400X

Physician Assistant, Medical

Code: 363AM0700X

Primary

Practice Address

1670 WILLOW CREEK RD STE A

PRESCOTT, AZ 863011112

Phone: 928-255-5191

NPI Enumeration Date

March 29, 2021

NPI Number

1770160269

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry