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

REVITALIFE CENTER, P.A.

Active Organization

REVITALIFE CENTER, P.A. is a Chiropractor organization located in SPRING LAKE PARK, Minnesota. NPI 1225306608 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · SPRING LAKE PARK, MN

Registration Details

NPI Number
1225306608
Provider Type
Organization
NPI Issued
Dec 13, 2011 (14.648808125584 yrs)
Last Updated
Oct 25, 2012
License
5552 (MN)

Practice Information

Address
8097 HIGHWAY 65 NE STE 102
SPRING LAKE PARK, MN, 554324511
Browse MN providers · Browse ZIP 55432
Phone
7637104085
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Organizations in SPRING LAKE PARK, MN

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.