Organization
VITALISTIC WELLNESS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JOAN WATTERSON (CREDENTIALING AGENT)
(509) 961-3849
Entity
Organization
Contact information
Practice address
326 1/2 CALDWELL BLVD, NAMPA, ID 83651-1926
(208) 242-4476
Mailing address
5217 NEZ PERCE RD, CALDWELL, ID 83607-8063
(208) 242-4476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
04/10/2025
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