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

Prestige Wellness Clinic

Organization Medical Physician Assistant · NPI 1720867153

Prestige Wellness Clinic is a Medical Physician Assistant in Rigby, Idaho. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3749 E 343 N
Rigby, ID 83442-5326
Phone: (208) 705-9800
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1720867153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Levi Hansen — Ceo · (208) 705-9800
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address3749 E 343 N, Rigby, ID 83442-5326

Other providers in Rigby