Vitalistic Wellness Institute LLC

NPI #1295557866 in Nampa, Idaho

Provider Information

NPI Number: 1295557866
Entity Type: Organization
Organization Name: Vitalistic Wellness Institute LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 25, 2024
Last Updated: Apr 10, 2025

Practice Location

Address: 326 1/2 CALDWELL BLVD
City: Nampa
State: Idaho
ZIP Code: 83651-1926
Phone: (208) 242-4476

Authorized Official

Name: PAMELA JOAN WATTERSON
Title: CREDENTIALING AGENT
Phone: (509) 961-3849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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