NPI 1205337656

Vitality Acupuncture LLC

Organisation Acupuncturist Meridian, ID

Practice location

Address: 1500 W Barrett Dr, Meridian, ID 83642-3728
Phone: (208) 629-4920
Fax: (888) 361-5391

Authorised official

Name: Heather Ann Bergstrom
Title: Owner
Phone: (208) 629-4920

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence ACU279

Other Acupuncturist providers in Idaho →

Registry record

NPI: 1205337656
Entity type: Organization
NPI issued: 21 Feb 2018
Record last updated: 21 Feb 2018

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.