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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVAL CHIROPRACTIC LLC

Active Organization

REVIVAL CHIROPRACTIC LLC is a Chiropractor organization located in FENTON, Missouri. NPI 1033673389 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · FENTON, MO

Registration Details

NPI Number
1033673389
Provider Type
Organization
NPI Issued
Jan 30, 2019 (7.5444648255062 yrs)
Last Updated
Feb 13, 2024

Practice Information

Address
560 OLD SMIZER MILL RD
FENTON, MO, 630263538
Browse MO providers · Browse ZIP 63026
Phone
6364921528
Fax
3145976565
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.