VITAL LIVING THERAPEUTIC MASSAGE LLC NPI 1790151157

NPI Information

VITAL LIVING THERAPEUTIC MASSAGE, LLC is a nurse massage therapist (nmt) registered nurse in Fort Wayne, IN. VITAL LIVING THERAPEUTIC MASSAGE, LLC NPI is 1790151157. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vital Living Wellspa.

The provider's business location address is:

5111 N BEND DR
FORT WAYNE, IN
ZIP 46804-753
Phone: (260) 436-8807
Fax: (260) 436-2767

The provider's authorized official is Janet Carroll .
The authorized official title is Owner and has the following contact phone number (260) 436-8807.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 8/19/2015.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.