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Organization
INSPIRING VITALITY WELLNESS INSTITUTE LLC
Active
Organization
INSPIRING VITALITY WELLNESS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL LEE COOPER DC (OWNER)
(715) 808-0716
Entity
Organization
Contact information
Practice address
2920 ENLOE ST, SUITE 105, HUDSON, WI 54016-8190
(715) 808-0716
(715) 808-0807
Mailing address
2920 ENLOE ST, SUITE 105, HUDSON, WI 54016-8190
(715) 808-0716
(715) 808-0807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1664-012
WI
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/08/2010
Last updated
10/26/2017
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