| Phoenix Vitality, Llc | |
|
603 E Main St Leipsic OH 45856-1438 | |
| (419) 957-9737 | |
| Not Available |
| Full Name | Phoenix Vitality, Llc |
|---|---|
| Speciality | General Practice |
| Location | 603 E Main St, Leipsic, Ohio |
| Authorized Official Name and Position | Stephanie Lynn Rodriguez (NURSE PRACTITIONER) |
| Authorized Official Contact | 4199570631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Vitality, Llc 603 E Main St Leipsic OH 45856-1438 Ph: (419) 957-9737 | Phoenix Vitality, Llc 603 E Main St Leipsic OH 45856-1438 Ph: (419) 957-9737 |
| NPI Number | 1104776939 |
|---|---|
| Provider Enumeration Date | 01/31/2026 |
| Last Update Date | 01/31/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104776939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |