Southlake Foot & Wellness Center LLC

NPI #1154824209 in Colleyville, Texas

Provider Information

NPI Number
1154824209
Entity Type
Organization
Organization Name
Southlake Foot & Wellness Center LLC
Primary Specialty
Specialist
Enumeration Date
Mar 15, 2018
Last Updated
Oct 5, 2023

Practice Location

Address
6407 COLLEYVILLE BLVD STE B
State
Texas
ZIP Code
76034-6279
Phone
(817) 527-6077

Authorized Official

Name
VITALITY WELLNESS CLINIC
Title
OWNER
Phone
(817) 527-6077

Specialties & Taxonomy Codes

Specialty
Specialist

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Provider Name
MRS. Kimberly Ann Lowack, OTRNewBizBotAI Deep Dive

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