Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vital Life Physical Therapy

Organization Physical Therapy Clinic/Center · NPI 1053937508

Vital Life Physical Therapy is a Physical Therapy Clinic/Center in Longview, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2628 Bill Owens Pkwy
Longview, TX 75604-3001
Phone: (903) 241-1274
Fax: (903) 297-6453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1053937508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Rudolph — Owner · (903) 241-1274
NPI enumeratedJune 21, 2020
Last updated in NPPESJune 21, 2020
Certification dateJune 21, 2020
Mailing address331 Deerfield Lake Cir, Longview, TX 75605-7756

Other providers in Longview