Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ageless Living Institute LLC

Medical Physician Assistant in Prescott, AZ · enumerated 2021 · authorized official Mark Kledzik, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770160269

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Registry record

Entity type Organization (Type 2)

Legal business name Ageless Living Institute LLC

Practice address 1670 Willow Creek Rd Ste A, Prescott, AZ, 86301

Phone (928) 255-5191

Fax (928) 316-9703

Enumeration date Mar 29, 2021

Last updated in NPPES Feb 2, 2023

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Mark Kledzik

Title Member

Phone (928) 255-5191

Other identifiers

Identifier	Type	State	Issuer
1437452836	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-02-02. Verify at npiregistry.cms.hhs.gov.

Where is Ageless Living Institute LLC located?

The practice location on file with NPPES is in Prescott, AZ.

Providers at this address

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Lesley Wood Hospitalist Physician · Prescott, AZ NPI 1558519231 Delmas Abbott Medical Physician Assistant · Prescott, AZ NPI 1437452836

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-02.