Individual provider · Type 1 NPI
Ryan Adam Revels, DC
Chiropractor · Daytona Beach, FL
NPI number
1669946638
Active
Practice location
433 Silver Beach Ave Ste 101
Daytona Beach, FL 32118-7104
Mailing address
4711 Chardonnay Ln
Port Orange, FL 32129-7481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 12705 (FL) |
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 1669946638
Ryan Adam Revels, DC's National Provider Identifier is 1669946638, issued on Jan 14, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Feb 6, 2019.