OrganizationActive
Agave Foot Specialists, PLLC
NPI 1861508541 · Foot & Ankle Surgery Podiatrist · Phoenix, AZ
Provider details
- NPI number
- 1861508541
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Heather Couch, Owner/Podiatrist(623) 322-5501
- License
- 0552 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
16841 N. 31st Ave.
Ste. 134
Phoenix, AZ 85053-3051
Phone: (623) 322-5501
Fax: (623) 322-8996
Approximate (ZIP-level) locationGet directions
Mailing address
16841 N. 31st Ave.
Phoenix, AZ 85053-3051
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.