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Organization
VITALITY PAIN RELIEF LLC
Active
Organization
VITALITY PAIN RELIEF LLC
Active
Other names
Vitality Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN DESAUTEL (AUTHORIZED OFFICIAL)
(913) 956-9370
Entity
Organization
Contact information
Practice address
14876 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 956-9370
Mailing address
14876 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 956-9370
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
10/04/2022
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