Organization
VITALITY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARILYN DELANDER DC (CHIROPRACTOR)
(651) 342-2199
Entity
Organization
Contact information
Practice address
324 5TH AVE N, BAYPORT, MN 55003-1201
(651) 342-2199
(651) 342-2090
Mailing address
324 5TH AVE N, BAYPORT, MN 55003-1201
(651) 342-2199
(651) 342-2090
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275985335
NPI
WI
Enumeration date
07/09/2020
Last updated
09/22/2020
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