Organization · Type 2 NPI
Revitalife Center, P.a.
Chiropractor · Spring Lake Park, MN
NPI number
1225306608
Active
Practice location
8097 Highway 65 NE Ste 102
Spring Lake Park, MN 55432-4511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5552 (MN) |
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.
Another provider at this address
Other chiropractor providers in Spring Lake Park
About NPI 1225306608
Revitalife Center, P.a.'s National Provider Identifier is 1225306608, issued on Dec 13, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Spring Lake Park, MN. The record was last updated on Oct 25, 2012.