| NPI | 1265251532 |
|---|---|
| Doing Business As | VITALITY SPINE AND SPORT |
| Entity Type | Organization |
| Authorized Contact | NOAH WHITTEN Owner/ Director 641-919-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-11-11 |