# WELLNESS AND LONGEVITY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720314875
- **Authorized official:** DR. PAUL D ROTHWELL M.D. (MANAGING MEMBER)
- **Authorized official phone:** (405) 787-8556

## Contact information

- **Practice address:** 7530 NW 23RD ST, BETHANY, OK 73008-4921
- **Practice address phone:** (405) 787-8556
- **Mailing address:** 7530 NW 23RD ST, BETHANY, OK 73008-4921
- **Mailing address phone:** (405) 787-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | 10533 | OK | — |
| 207Q00000X | Family Medicine Physician | 10533 | OK | Yes |
| 208D00000X | General Practice Physician | 10533 | OK | — |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 10/26/2009