NPI 1003675703
Vital Function Therapies LLC
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
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.