Vitality Spine and Sport
NPI #1265251532 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1265251532
- Entity Type
- Organization
- Organization Name
- Vitality Spine and Sport
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 4, 2024
- Last Updated
- Nov 11, 2024
Practice Location
- Address
- 12370 OLIVE BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-6443
- Phone
- (641) 919-5240
Authorized Official
- Name
- DR. NOAH WHITTEN, DC
- Title
- OWNER/ DIRECTOR
- Phone
- (641) 919-5240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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