NPI 1235724147
Vitasuite IV & Ketamine Therapy
Practice location
- Address
- 509 N Adams St STE 2, Carroll, IA 51401-2767
- Phone
- (712) 775-2434
- Fax
- (712) 775-2534
Authorised official
- Name
- Ruth Petros
- Title
- Part Owner
- Phone
- (712) 775-2434
Registered specialties
Infusion Therapy Clinic/Center
Primary
Registry record
- NPI
- 1235724147
- Entity type
- Organization
- NPI issued
- 2 Mar 2021
- Record last updated
- 21 Oct 2021
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.