Vitality Life Chiropractic, LLC

NPI #1992216295 in Edina, Minnesota

Provider Information

NPI Number: 1992216295
Entity Type: Organization
Organization Name: Vitality Life Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 13, 2017
Last Updated: Oct 27, 2017

Practice Location

Address: 7250 FRANCE AVE S, STE 300A
City: Edina
State: Minnesota
ZIP Code: 55435-4305
Phone: (952) 835-4772

Authorized Official

Name: DR. JASON LEE ELLIS, D.C.
Title: OWNER
Phone: (952) 835-4772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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