# COMPLETE VITALITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedSpine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598621187
- **Authorized official:** MR. BRENT A. TIDWELL DC (MANAGING PARTNER)
- **Authorized official phone:** (205) 752-7503

## Contact information

- **Practice address:** 1013 W FORT WILLIAMS STREET, STE D, SYLACAUGA, AL 35150-2301
- **Practice address phone:** (205) 561-6010
- **Practice address fax:** (855) 975-3042
- **Mailing address:** 819 MIMOSA PARK ROAD, STE D, TUSCALOOSA, AL 35405-4839
- **Mailing address phone:** (205) 561-6010
- **Mailing address fax:** (855) 975-3042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 12/29/2025