# VITALITY CHIROPRACTIC AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437453545
- **Authorized official:** DR. JEREMY JAMES LIESVELD D.C.,B.S.N.-R.N.,B.A (CHIROPRACTOR)
- **Authorized official phone:** (832) 671-8569

## Contact information

- **Practice address:** 1205 MEADOWLARK DR, LITTLE ELM, TX 75068-4653
- **Practice address phone:** (832) 671-8569
- **Mailing address:** 1205 MEADOWLARK DR, LITTLE ELM, TX 75068-4653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 11339 | TX | Yes |

## Other

- **Enumeration date:** 01/04/2011
- **Last updated:** 01/04/2011