Healthcare Provider Details

I. General information

NPI: 1669708723
Provider Name (Legal Business Name): VITALITY CHIROPRACTIC AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 KIRKWOOD HWY STE 101
WILMINGTON DE
19805-4939
US

IV. Provider business mailing address

1702 KIRKWOOD HWY STE 101
WILMINGTON DE
19805-4939
US

V. Phone/Fax

Practice location:
  • Phone: 302-777-0778
  • Fax: 302-777-4002
Mailing address:
  • Phone: 302-777-0778
  • Fax: 302-777-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberF1-0000730
License Number StateDE

VIII. Authorized Official

Name: MRS. MARY KATHERINE SCHULER
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 302-777-0778