# VITALITY PAIN RELIEF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Healing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689322513
- **Authorized official:** ROBYN DESAUTEL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (913) 956-9370

## Contact information

- **Practice address:** 14876 METCALF AVE, OVERLAND PARK, KS 66223-2206
- **Practice address phone:** (913) 956-9370
- **Mailing address:** 14876 METCALF AVE, OVERLAND PARK, KS 66223-2206
- **Mailing address phone:** (913) 956-9370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2022
- **Last updated:** 10/04/2022