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

Vital Wellness, LLC

Organization Registered Dietitian · NPI 1790530145

Vital Wellness, LLC is a Registered Dietitian in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

321 Autumn River Run
Philadelphia, PA 19128-4355
Phone: (267) 908-4825
Fax: (267) 955-9935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1790530145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Hollenbach — Founder & Ceo · (267) 908-4825
NPI enumeratedApril 19, 2024
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address701 E. Cathedral Rd., Suite 45-1483, Philadelphia, PA 19128-2128

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