Healthcare Provider Details

I. General information

NPI: 1467369439
Provider Name (Legal Business Name): VITALITY WELLNESS GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N MAIN ST UNIT 7
SHARON MA
02067-1276
US

IV. Provider business mailing address

210 N MAIN ST UNIT 7
SHARON MA
02067-1276
US

V. Phone/Fax

Practice location:
  • Phone: 203-470-6363
  • Fax:
Mailing address:
  • Phone: 203-470-6363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA BLOOD
Title or Position: FOUNDER/CLINIC DIRECTOR
Credential: PT, DPT, GCS, CLT
Phone: 203-470-6363