Organization
VITALITY SPINE AND SPORT
Active
Other names
Vitality Spine and Sport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAH WHITTEN DC (OWNER/ DIRECTOR)
(641) 919-5240
Entity
Organization
Contact information
Practice address
12370 OLIVE BLVD, SAINT LOUIS, MO 63141-6443
(641) 919-5240
Mailing address
12370 OLIVE BLVD, SAINT LOUIS, MO 63141-6443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
11/11/2024
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