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

REVIVAL FUNCTIONAL NUTRITION PLLC

Active Organization

REVIVAL FUNCTIONAL NUTRITION PLLC is a Chiropractor organization located in CHARLOTTE, North Carolina. NPI 1477375327 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · CHARLOTTE, NC

Registration Details

NPI Number
1477375327
Provider Type
Organization
NPI Issued
Oct 30, 2024 (1.7893234227518 yrs)
Last Updated
Jul 21, 2025

Practice Information

Address
5527 MONROE RD
CHARLOTTE, NC, 282125503
Browse NC providers · Browse ZIP 28212
Phone
9803243363
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.