Vital Living Therapeutic Massage, LLC
Vital Living Therapeutic Massage, LLC is a Nurse Massage Therapist (NMT) in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2015.
- Licensed in
- IN
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5111 N Bend DrFort Wayne, IN 46804-1753
Phone: (260) 436-8807
Fax: (260) 436-2767
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Massage Therapist (NMT) (primary) | Taxonomy 163WM1400X · Licence 28057959A (IN) |
|---|---|
| Massage Therapist | Taxonomy 225700000X · Licence MT20901877 (IN) |
Record details
| NPI number | 1790151157 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janet Carroll — Owner · (260) 436-8807 |
| Other names | Vital Living Wellspa |
| NPI enumerated | August 19, 2015 |
| Last updated in NPPES | August 19, 2015 |
| Mailing address | 5111 N Bend Dr, Fort Wayne, IN 46804-1753 |
Other providers in Fort Wayne
-
Janet Carroll, RN, MT
5111 N Bend Dr, Fort Wayne, IN 46804-1753 · (260) 436-8807