Organization
VITALITY MEDICAL MASSAGE & BODYWORK LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFE R LYNN PATTON LMT, MMP (OWNER/OPERATOR)
(724) 944-9103
Entity
Organization
Contact information
Practice address
2580 CONSTITUTION BLVD, BEAVER FALLS, PA 15010-1294
(724) 944-9103
Mailing address
989 BLACKHAWK RD, BEAVER FALLS, PA 15010-9011
(724) 944-9103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG010383
PA
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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