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

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 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.