Inspiring Vitality Wellness Institute LLC

NPI #1932411873 in Hudson, Wisconsin

Provider Information

NPI Number: 1932411873
Entity Type: Organization
Organization Name: Inspiring Vitality Wellness Institute LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 8, 2010
Last Updated: Oct 26, 2017

Practice Location

Address: 2920 ENLOE ST
Address 2: SUITE 105
City: Hudson
State: Wisconsin
ZIP Code: 54016-8190
Phone: (715) 808-0716

Authorized Official

Name: DARYL LEE COOPER, DC
Title: OWNER
Phone: (715) 808-0716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Chiropractor	111N00000X	Primary

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