Organization · Type 2 NPI

Revitalize Chiropractic, LLC

Chiropractor · Chesterfield, MO

NPI number 1780192674 Active

Practice location

936 Chesterfield Pkwy E
Chesterfield, MO 63017-2042

Fax (314) 775-9870

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

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 1780192674

Revitalize Chiropractic, LLC's National Provider Identifier is 1780192674, issued on Jan 14, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chesterfield, MO. The record was last updated on Oct 18, 2021.