Organization
WLC VITALITY IN MOTION THERAPY TEAM
Active
Other names
Vitality in Motion
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STOUT LNHA (CEO/OWNER)
(618) 713-5284
Entity
Organization
Contact information
Practice address
35 S VINE ST, HARRISBURG, IL 62946-1738
(618) 713-5284
(618) 294-8699
Mailing address
35 S VINE ST, HARRISBURG, IL 62946-1738
(618) 713-5284
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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