OrganizationActive
Aesthetica PLLC
NPI 1174343883 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Phoenix, AZ
Provider details
- NPI number
- 1174343883
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tiffany Harris, Owner/Ceo(602) 791-0199
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Clinical Exercise Physiologist224Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Practice location
45 E Monterey Way Ste 202
Phoenix, AZ 85012-2757
Phone: (602) 791-0199
Approximate (ZIP-level) locationGet directions
Mailing address
45 E Monterey Way Ste 202
Phoenix, AZ 85012-2757
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.