Vitality Group of Wny

NPI #1154750321 in Blasdell, New York

Provider Information

NPI Number
1154750321
Entity Type
Organization
Organization Name
Vitality Group of Wny
Primary Specialty
Massage Therapist
Enumeration Date
Nov 7, 2013
Last Updated
Nov 7, 2013

Practice Location

Address
3670 MCKINLEY PKWY
Address 2
MASSAGE ENVY
ZIP Code
14219-2696
Phone
(716) 822-3689

Authorized Official

Name
MR. FRED GRANT MORSE III
Title
PRESIDENT
Phone
(239) 269-3279

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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