Vitality Acupuncture LLC

NPI #1205337656 in Meridian, Idaho

Provider Information

NPI Number: 1205337656
Entity Type: Organization
Organization Name: Vitality Acupuncture LLC
Primary Specialty: Acupuncturist
Enumeration Date: Feb 21, 2018
Last Updated: Feb 21, 2018

Practice Location

Address: 1500 W BARRETT DR
City: Meridian
State: Idaho
ZIP Code: 83642-3728
Phone: (208) 629-4920

Authorized Official

Name: HEATHER ANN BERGSTROM, LAC
Title: OWNER
Phone: (208) 629-4920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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