Individual
DR. JOHN A VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
133 W UNIVERSITY PKWY STE 105, JACKSON, TN 38305
(731) 664-7935
(731) 668-6631
Mailing address
133 W UNIVERSITY PKWY STE 105, JACKSON, TN 38305-1968
(731) 664-7935
(731) 668-6631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
826
TN
Other
Enumeration date
05/15/2006
Last updated
01/25/2021
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