# VITAL FLOW MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Missoula Acupucture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457129439
- **Authorized official:** MR. SHAWN ROBERTSON (OWNER)
- **Authorized official phone:** (406) 544-4794

## Contact information

- **Practice address:** 1001 SW HIGGINS AVE STE 104, MISSOULA, MT 59803-1340
- **Practice address phone:** (406) 540-0081
- **Practice address fax:** (406) 284-0678
- **Mailing address:** 1001 SW HIGGINS AVE STE 104, MISSOULA, MT 59803-1340
- **Mailing address phone:** (406) 540-0081
- **Mailing address fax:** (406) 284-0678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 03/20/2024