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

Functional Medicine Center of Arizona

Organization Health & Wellness Coach · NPI 1235870205

Functional Medicine Center of Arizona is a Health & Wellness Coach in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

806 S 56th Ave Ste 1B
Phoenix, AZ 85043-4630
Phone: (602) 429-0447
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1235870205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Tiedemann — Owner/Clinical Director · (480) 747-0499
Other names Functional Healthcare Center
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022
Mailing address806 S 56th Ave Ste 1b, Phoenix, AZ 85043-4630

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