OrganizationActive
Ageless Center LLC
NPI 1023523750 · Obesity Medicine (Preventive Medicine) Physician · Indianapolis, IN
Provider details
- NPI number
- 1023523750
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Wyatt Horsley, Medical Director
- License
- 01076865A (IN)
Practice location
201 Pennsylvania Pkwy Ste 201
Indianapolis, IN 46280-1393
Phone: (317) 528-9119
Mailing address
201 Pennsylvania Pkwy Ste 201
Indianapolis, IN 46280-1393
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2017-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.