Provider Demographics
NPI:1801524814
Name:THE VITALITY GROUP LLC
Entity type:Organization
Organization Name:THE VITALITY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:CUMMINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-747-5333
Mailing Address - Street 1:15236 E HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3908
Mailing Address - Country:US
Mailing Address - Phone:720-747-5333
Mailing Address - Fax:720-519-1061
Practice Address - Street 1:15236 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3908
Practice Address - Country:US
Practice Address - Phone:720-747-5333
Practice Address - Fax:720-519-1061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty