VITALITY WELLNESS PA NPI 1457972150

NPI Information

NPI: 1457972150
Provider Name: VITALITY WELLNESS PA

Doing Business As: SECOYA HEALTH

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7650 CURRELL BLVD STE 330
WOODBURY, MN
ZIP 55125
Phone: (651) 738-7800
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VITALITY WELLNESS PA is a multi-specialty clinic center in Woodbury, MN. VITALITY WELLNESS PA NPI is 1457972150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Secoya Health.

The provider's business location address is:

7650 CURRELL BLVD STE 330
WOODBURY, MN
ZIP 55125-209
Phone: (651) 738-7800

The provider's authorized official is Daniel Schilling .
The authorized official title is Owner and has the following contact phone number (651) 738-7800.

The CLIA number assigned to this NPI record is 24D2291526 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2020 and was last updated on 5/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QI0500X	Clinic/Center	Infusion Therapy	No
3	261QP2000X	Clinic/Center	Physical Therapy	No
4	261QP3300X	Clinic/Center	Pain	No
5	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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