# AGELESS BODY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245798461
- **Authorized official:** INNA S TRAKHTENBERG DC (CEO - CHIROPRACTOR)
- **Authorized official phone:** (954) 990-0302

## Contact information

- **Practice address:** 2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
- **Practice address phone:** (954) 990-0302
- **Practice address fax:** (954) 908-7101
- **Mailing address:** 2500 E HALLANDALE BEACH BLVD STE 406, HALLANDALE BEACH, FL 33009-4837
- **Mailing address phone:** (954) 990-0302
- **Mailing address fax:** (954) 908-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 12/19/2025
