Organization · Type 2 NPI

Revive Chiropractic Wellness Center, LLC

Chiropractor · Little Canada, MN

NPI number 1487991600 Active

Practice location

2800 Rice St Ste 158
Little Canada, MN 55113-2481

Fax (651) 765-1302

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5678 (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.

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About NPI 1487991600

Revive Chiropractic Wellness Center, LLC's National Provider Identifier is 1487991600, issued on Jan 8, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Little Canada, MN. The record was last updated on Jan 8, 2013.