Organization
VITAL FUNCTION THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY FLETCHER IBCLC (OWNER)
(479) 936-6119
Entity
Organization
Contact information
Practice address
162 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 936-6119
(479) 521-4161
Mailing address
202 N WALTON BLVD STE 34, BENTONVILLE, AR 72712-5175
(479) 936-6119
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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