PHOENIX VITALITY, LLC – NPI #1104776939
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
PHOENIX VITALITY, LLC is a provider located in LEIPSIC, OH. NPPES has assigned the NPI number 1104776939 to PHOENIX VITALITY, LLC on January 31, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
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NPI Profile for
PHOENIX VITALITY, LLC
(about 4 months ago)
LEIPSIC, OH 45856-1438 Phone: (419) 957-9737 Fax:
NURSE PRACTITIONER
Phone: (419) 957-0631
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.