Healthcare Provider Details

I. General information

NPI: 1962732016
Provider Name (Legal Business Name): ABSOLUTE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8360 E RAINTREE DR STE 135 SUITE C-120
SCOTTSDALE AZ
85260-2687
US

IV. Provider business mailing address

8360 E RAINTREE DR STE 135 SUITE C-120
SCOTTSDALE AZ
85260-2687
US

V. Phone/Fax

Practice location:
  • Phone: 480-991-9945
  • Fax: 480-948-3204
Mailing address:
  • Phone: 480-991-9945
  • Fax: 480-948-3204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA MICHELLE PENTON
Title or Position: OWNER
Credential:
Phone: 480-991-9945