Organization · Type 2 NPI
Ageless Living Institute LLC
Medical Physician Assistant · Prescott, AZ
NPI number
1770160269
Active
Practice location
1670 Willow Creek Rd Ste A
Prescott, AZ 86301-1112
Fax (928) 316-9703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Neurological Surgery Physician | 207T00000X | None listed |
| Physical Medicine & Rehabilitation Physician | 208100000X | None listed |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
| Surgical Physician Assistant | 363AS0400X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Prescott
About NPI 1770160269
Ageless Living Institute LLC's National Provider Identifier is 1770160269, issued on Mar 29, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prescott, AZ. The record was last updated on Feb 2, 2023.