Vital Living Wellspa

LBN: Vital Living Therapeutic Massage, Llc
Vital Living Wellspa is an health care organization with primary practice located at 5111 N Bend Dr , Fort Wayne IN 46804-1753. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Nurse Massage Therapist (NMT), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Nursing Service Providers / Nurse Massage Therapist (NMT) is the primary health care specialty. Vital Living Therapeutic Massage, Llc can be contacted via phone (260) 436-8807, or through Carroll, Janet via phone (260) 436-8807.

Contact Information

Primary practice address
5111 N Bend Dr Fort Wayne IN 46804-1753
Phone: (260) 436-8807
Fax: (260) 436-2767
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Janet
Phone: (260) 436-8807

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nurse Massage Therapist (NMT) 163WM1400X 28057959A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT20901877 Indiana

Profile Details

NPI number 1790151157
LBN Legal business name Vital Living Therapeutic Massage, Llc
DBA Doing business as Vital Living Wellspa
Authorized official Carroll, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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