| Vitlaity Chirorpactic And Wellness Inc | |
|
21 Trimountain Ave South Range MI 49963 | |
| (906) 553-1106 | |
| Not Available |
| Full Name | Vitlaity Chirorpactic And Wellness Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21 Trimountain Ave, South Range, Michigan |
| Authorized Official Name and Position | Sarah Derenzo (CHIROPRACTOR/CEO) |
| Authorized Official Contact | 9065531106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitlaity Chirorpactic And Wellness Inc Po Box 101 21 Trimountain Ave South Range MI 49963 Ph: (906) 553-1106 | Vitlaity Chirorpactic And Wellness Inc 21 Trimountain Ave South Range MI 49963 Ph: (906) 553-1106 |
| NPI Number | 1265882435 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265882435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2301010420 (Michigan) | Primary |