Organization · Type 2 NPI
Vitasuite IV & Ketamine Therapy
Infusion Therapy Clinic/Center · Carroll, IA
NPI number
1235724147
Active
Practice location
509 N Adams St Ste 2
Carroll, IA 51401-2767
Fax (712) 775-2534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1235724147
Vitasuite IV & Ketamine Therapy's National Provider Identifier is 1235724147, issued on Mar 2, 2021. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Carroll, IA. The record was last updated on Oct 21, 2021.