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

21st Century Total Wellness, LLC

Organization Specialist · NPI 1043412711

21st Century Total Wellness, LLC is a Specialist in Demotte, Indiana. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5522 E 989 N
Demotte, IN 46310-8016
Phone: (219) 345-3892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1043412711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Prater — Resident Agent · (219) 756-4695
NPI enumeratedJune 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5522 E 989 N, Demotte, IN 46310-8016

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