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

Ketamine Wellness Centers Arizona LLC

Organization Anesthesiology Physician · NPI 1477935369

Ketamine Wellness Centers Arizona LLC is an Anesthesiology Physician in Mesa, Arizona. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
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

113 W Hoover Ave Ste 101
Mesa, AZ 85210-5214
Phone: (855) 538-9355
Fax: (844) 538-9355
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1477935369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
Other names Ketamine Wellness Centers
NPI enumeratedJune 26, 2015
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020
Mailing address113 W Hoover Ave Ste 101, Mesa, AZ 85210-5214

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