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Organization
VITAL THERAPY
Active
Organization
VITAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN JUSTUSSON (PRESIDENT)
(800) 743-0396
Entity
Organization
Contact information
Practice address
959 MUND DR, KOKOMO, IN 46902-7014
(404) 932-2878
Mailing address
959 MUND DR, KOKOMO, IN 46902-7014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/12/2022
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