MEDICARE: PRESSCOTT PAIN CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	225700000X	Massage Therapist
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1083557243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESSCOTT PAIN CENTER LLC

Provider Business Mailing Address
First Line	:	1590 WILLOW CREEK RD
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-1164
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 E JACQUE DR
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-6172
Country	:	US
Telephone Number	:	928-277-8715
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	BENJAMIN WOJCIAK
Credential	:
Telephone Number	:	928-699-1246

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “PRESSCOTT PAIN CENTER LLC ” Practice Location

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