MEDICARE: MAXIMUM WELLNESS INTEGRATIVE HEALTH CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1659244879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXIMUM WELLNESS INTEGRATIVE HEALTH CLINIC

Provider Business Mailing Address
First Line	:	21455 S ELLSWORTH RD STE 36
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-9849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21455 S ELLSWORTH RD STE 36
Second Line	:	SUITE 36
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-9849
Country	:	US
Telephone Number	:	623-850-4882
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	DR. JAY MAXWELL
Credential	:	ND
Telephone Number	:	623-850-4882

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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