Provider Demographics
NPI:1295530590
Name:VITAL CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VITAL CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AIDAN
Authorized Official - Middle Name:ARUNAS
Authorized Official - Last Name:ARSTIKAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-487-6169
Mailing Address - Street 1:1064 S RIVERSIDE DR STE B
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-4746
Mailing Address - Country:US
Mailing Address - Phone:901-487-6169
Mailing Address - Fax:
Practice Address - Street 1:1064 S RIVERSIDE DR STE B
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4746
Practice Address - Country:US
Practice Address - Phone:901-487-6169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty