Organization
VITALITY PAIN RELIEF LLC
Active
Other names
Vitality Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN DESAUTEL (AUTHORIZED OFFICIAL)
(913) 956-9370
Entity
Organization
Contact information
Practice address
14876 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 956-9370
Mailing address
14876 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 956-9370
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
10/04/2022
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