NPI 1295696110

Complete Vitality LLC

Organisation Chiropractor Montgomery, AL

Practice location

Address: 4180 Carmichael Road, Montgomery, AL 36106-3600
Phone: (205) 561-6010
Fax: (855) 975-3042
Mailing address: 819 Mimosa Park Road STE D, Tuscaloosa, AL 35405-4839

Authorised official

Name: Brent A. Tidwell
Title: Managing Partner
Phone: (205) 752-7503

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1295696110
Entity type: Organization
NPI issued: 20 Nov 2025
Record last updated: 20 Nov 2025

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.