# THE VITAL POTENTIAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740678937
- **Authorized official:** MRS. JAMIE LYNN THOMAS NMT, RMT, LDMT, CST, (OWNER & PRACTITIONER)
- **Authorized official phone:** (303) 642-0376

## Contact information

- **Practice address:** 1075 S YUKON ST, SUITE 320,, LAKEWOOD, CO 80226-4354
- **Practice address phone:** (303) 642-0376
- **Mailing address:** 12081 W ALAMEDA PKWY, SUITE 480, LAKEWOOD, CO 80228-2701
- **Mailing address phone:** (720) 316-0196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | CO | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | MT.00165404 | CO | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | MT-0016504 | CO | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 02/06/2017