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VITALITY HEALTHCARE INC NPI 1033881321


NPI Information

NPI: 1033881321
Provider Name: VITALITY HEALTHCARE INC
Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

CLIA Number: 11D2235231

Address:
554 NORTH AVE NW STE C
ATLANTA, GA
ZIP 30318
Phone: (404) 477-2300
Get Directions

VITALITY HEALTHCARE INC is a sports physician chiropractor in Atlanta, GA. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. VITALITY HEALTHCARE INC NPI is 1033881321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

554 NORTH AVE NW STE C
ATLANTA, GA
ZIP 30318-909
Phone: (404) 477-2300
Fax: (404) 477-2301

The provider's authorized official is Clayton Gibson .
The authorized official title is Ceo and has the following contact phone number (404) 477-2300.

The CLIA number assigned to this NPI record is 11D2235231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2021 and was last updated on 10/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP1600XCounselorPastoralNo
2171100000XAcupuncturistNo
3208000000XPediatricsNo
4111NS0005XChiropractorSports PhysicianYes

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

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