Organization · Type 2 NPI
Revitalize Chiropractic, LLC
Chiropractor · Fargo, ND
NPI number
1891452371
Active
Practice location
4575 23rd Ave S Ste 1100
Fargo, ND 58104-9052
Mailing address
26748 130th Ave N
Ulen, MN 56585-9629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None 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 1891452371
Revitalize Chiropractic, LLC's National Provider Identifier is 1891452371, issued on Nov 19, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fargo, ND. The record was last updated on Nov 19, 2021.