Whalio Doctors

NPI 1003675703

Vital Function Therapies LLC

Organisation Health Service Clinic/Center Fayetteville, AR

Practice location

Address
162 E Sunbridge Dr, Fayetteville, AR 72703-2830
Phone
(479) 936-6119
Fax
(479) 521-4161
Mailing address
202 N Walton Blvd STE 34, Bentonville, AR 72712-5175

Authorised official

Name
Stacey Fletcher
Title
Owner
Phone
(479) 936-6119

Registered specialties

Health Service Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QH0100X

Registry record

NPI
1003675703
Entity type
Organization
NPI issued
15 Mar 2024
Record last updated
15 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.