Organization · Type 2 NPI

Revival Chiropractic LLC

Chiropractor · Fenton, MO

NPI number 1033673389 Active

Practice location

560 Old Smizer Mill Rd
Fenton, MO 63026-3538

Call (636) 492-1528 Map

Fax (314) 597-6565

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1033673389

Revival Chiropractic LLC's National Provider Identifier is 1033673389, issued on Jan 30, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fenton, MO. The record was last updated on Feb 13, 2024.