Organization
YOUR VITALITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESE MARIE SCHMIDT (OWNER)
(928) 440-8494
Entity
Organization
Contact information
Practice address
2717 N 4TH ST STE 120, FLAGSTAFF, AZ 86004-1813
(928) 440-8494
Mailing address
2532 N 4TH ST # 278, FLAGSTAFF, AZ 86004-3712
(602) 999-9974
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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