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Organization
VITAL WELLNESS LLC
Active
Organization
VITAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HOLLENBACH MS, RD, LDN, LAT ATC (FOUNDER & CEO)
(267) 908-4825
Entity
Organization
Contact information
Practice address
321 AUTUMN RIVER RUN, PHILADELPHIA, PA 19128-4355
(267) 908-4825
(267) 955-9935
Mailing address
701 E CATHEDRAL RD STE 45-1483, PHILADELPHIA, PA 19128-2128
(267) 908-4825
(267) 955-9935
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/19/2024
Last updated
08/14/2026
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