NPI 1780376129
Vitality Physical Medicine PLLC
Practice location
- Address
- 5335 Eastern Ave STE C, Davenport, IA 52807-2788
- Phone
- (563) 424-6400
Authorised official
- Name
- Joseph Earl Brooks
- Title
- Owner
- Phone
- (563) 424-6400
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Clinic/Center
Registry record
- NPI
- 1780376129
- Entity type
- Organization
- NPI issued
- 24 May 2023
- Record last updated
- 22 Aug 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.