MEDICARE: VITALISE CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1730045782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALISE CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	5301 PROVIDENCE RD STE 80
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4128
Country	:	US
Telephone Number	:	757-937-0273
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 PROVIDENCE RD STE 80
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-4128
Country	:	US
Telephone Number	:	757-937-0273
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. CHRISTINA LOWENTHAL
Credential	:	DC
Telephone Number	:	757-937-0273

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “VITALISE CHIROPRACTIC LLC ” Practice Location

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