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Organization

VITALITY THERAPY AND PERFORMANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN CORD DEMOSS (MANAGING PARTNER)
(903) 918-7499
Entity
Organization

Contact information

Practice address
8988 S SHERIDAN RD STE A, TULSA, OK 74133-5035
(918) 265-4688
Mailing address
8988 S SHERIDAN RD STE A, TULSA, OK 74133-5035
(918) 265-4688

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/13/2020
Last updated
06/07/2023
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