NPI 1023707544
Awakened Vitality, LLC
Practice location
- Address
- 7475 Hubbard Ave STE 203, Middleton, WI 53562-3146
- Phone
- (608) 620-3062
- Mailing address
- 7306 Companion Ln, Middleton, WI 53562-1033
Authorised official
- Name
- Casey-Ann R Dohse
- Title
- Owner/Manager
- Phone
- (608) 501-4488
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1023707544
- Entity type
- Organization
- NPI issued
- 1 May 2023
- Record last updated
- 1 May 2023
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.