Ageless Living Institute LLC
Ageless Living Institute LLC is an Internal Medicine Physician in Prescott, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 7
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1670 Willow Creek Rd Ste APrescott, AZ 86301-1112
Phone: (928) 255-5191
Fax: (928) 316-9703
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Neurological Surgery Physician | Taxonomy 207T00000X |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X |
| Physician Assistant | Taxonomy 363A00000X |
| Surgical Physician Assistant | Taxonomy 363AS0400X |
Record details
| NPI number | 1770160269 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Kledzik — Member · (928) 255-5191 |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
| Mailing address | 1670 Willow Creek Rd Ste A, Prescott, AZ 86301-1112 |
Other providers in Prescott
-
Bryan Lawrence Abramowitz, MD
1501 W Kelly Dr, Prescott, AZ 86305-8623 · (858) 430-1651
-
Ajith Purush MD PLC
722 N Montezuma St, Prescott, AZ 86301-2002 · (928) 237-9000
-
Suzanne D Allen, MD
1003 Willow Creek Rd, Prescott, AZ 86301 · (928) 771-5487
-
Arizona Adult and Pediatric Medicine PC
743 Miller Valley Rd, Prescott, AZ 86301-1813 · (928) 443-1000
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Arizona Heart Institute Ltd Prescott
802 Ainsworth Dr Ste A, Prescott, AZ 86301-1623 · (928) 445-6025