Organization · Type 2 NPI

Revitalize Integrated Body Systems

Chiropractor · Menlo Park, CA

NPI number 1124341813 Active

Practice location

1618 El Camino Real
Menlo Park, CA 94025-4112

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC30496 (CA)

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.

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About NPI 1124341813

Revitalize Integrated Body Systems's National Provider Identifier is 1124341813, issued on Mar 9, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Menlo Park, CA. The record was last updated on Mar 9, 2010.