OrganizationActive
Vital Function Therapies LLC
NPI 1003675703 · Health Service Clinic/Center · Fayetteville, AR
Provider details
- NPI number
- 1003675703
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Fletcher, Owner(479) 936-6119
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
162 E Sunbridge Dr
Fayetteville, AR 72703-2830
Phone: (479) 936-6119
Fax: (479) 521-4161
Approximate (ZIP-level) locationGet directions
Mailing address
202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175
Additional practice locations (1)
- 202 N Walton Blvd Ste 34Bentonville, AR 72712-5175Phone: (479) 936-6119
Registry dates
- Enumerated
- 2024-03-15
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.