| NPI | 1669355624 |
|---|---|
| Former Legal Business Name | RADIANT VITALITY THERAPEUTICS LLC |
| Entity Type | Organization |
| Authorized Contact | LANCE PURSLEY Sole Member / Owner 541-218-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |