OrganizationActive
Agewell Rehab and Fitness, LLC
NPI 1366800534 · Rehabilitation Clinic/Center · Roswell, GA
Provider details
- NPI number
- 1366800534
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Ivey, Organizer(404) 823-8157
- License
- PT005195 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4060 Inverness Xing
Roswell, GA 30075-4781
Phone: (404) 823-8157
Fax: (888) 877-6415
Approximate (ZIP-level) locationGet directions
Mailing address
4060 Inverness Xing
Roswell, GA 30075-4781
Registry dates
- Enumerated
- 2016-02-03
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.