Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Body Wellness Institute LLC

Organization Family Medicine Physician · NPI 1154088045

Body Wellness Institute LLC provides Family Medicine Physician services in Mesa, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 W Southern Ave Ste E
Mesa, AZ 85210-5018
Phone: (602) 842-5533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1154088045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Newsome — Owner · (602) 842-5533
NPI enumeratedNovember 26, 2021
Last updated in NPPESNovember 26, 2021
Certification dateNovember 12, 2021
Mailing address625 W Southern Ave Ste E, Mesa, AZ 85210-5018

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