Organization · Type 2 NPI

Revive Sport & Spine

Sports Physician Chiropractor · Murray, UT

NPI number 1649646969 Active

Practice location

1996 E 6400 S Ste 260
Murray, UT 84121-2173

Fax (385) 351-5950

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X91235421202 (UT)
Sports Physician Chiropractor Primary 111NS0005X91235421202 (UT)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

Another provider at this address

About NPI 1649646969

Revive Sport & Spine's National Provider Identifier is 1649646969, issued on Aug 20, 2015. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Murray, UT. The record was last updated on Oct 9, 2025.