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

Evolve Flagstaff LLC

Organization Registered Dietitian · NPI 1114480183

Evolve Flagstaff LLC is a Registered Dietitian in Flagstaff, Arizona. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

123 W Birch Ave Ste 100
Flagstaff, AZ 86001-4508
Phone: (928) 793-6237
Fax: (928) 366-5976
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1114480183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Kinslow — Owner, Physical Therapist · (928) 326-0316
NPI enumeratedApril 8, 2019
Last updated in NPPESApril 8, 2019
Mailing address123 W Birch Ave Ste 100, Flagstaff, AZ 86001-4508

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