Provider Demographics
NPI:1326404567
Name:VITALITY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:VITALITY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PULSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-371-3533
Mailing Address - Street 1:2121 W 63RD PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5058
Mailing Address - Country:US
Mailing Address - Phone:605-371-3533
Mailing Address - Fax:605-371-1781
Practice Address - Street 1:2121 W 63RD PL
Practice Address - Street 2:SUITE 300
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5058
Practice Address - Country:US
Practice Address - Phone:605-371-3533
Practice Address - Fax:605-371-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty