Phoenix Vitality, LLC

NPI #1104776939 in Leipsic, Ohio

Provider Information

NPI Number: 1104776939
Entity Type: Organization
Organization Name: Phoenix Vitality, LLC
Primary Specialty: General Practice
Enumeration Date: Jan 31, 2026
Last Updated: Jan 31, 2026

Practice Location

Address: 603 E MAIN ST
City: Leipsic
State: Ohio
ZIP Code: 45856-1438
Phone: (419) 957-9737

Authorized Official

Name: STEPHANIE LYNN RODRIGUEZ, CNP
Title: NURSE PRACTITIONER
Phone: (419) 957-0631

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