MEDICARE: VERVE WELLNESS CENTER, LLC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	111N00000X	Chiropractor
3	171100000X	Acupuncturist
4	207LP2900X	Pain Medicine (Anesthesiology) Physician
5	207Q00000X	Family Medicine Physician
6	207R00000X	Internal Medicine Physician
7	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1871002683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERVE WELLNESS CENTER, LLC.

Provider Business Mailing Address
First Line	:	4838 E BASELINE RD
Second Line	:	BUILDING 2, SUITE 110
City	:	MESA
State	:	AZ
Zip	:	85206-4678
Country	:	US
Telephone Number	:	480-969-4040
Fax Number	:	480-830-1042

Provider Business Practice Location Address
First Line	:	4838 E BASELINE RD STE 110
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-4674
Country	:	US
Telephone Number	:	480-969-4040
Fax Number	:	480-830-1042

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. DAVID ALEXANDER WARKENTIN
Credential	:	DC
Telephone Number	:	480-969-4040

Provider Enumeration Date	:	09/25/2017
Last Update Date	:	07/21/2022

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Directions to “VERVE WELLNESS CENTER, LLC. ” Practice Location

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