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

REVIVE SPORT & SPINE

Active Organization

REVIVE SPORT & SPINE is a Sports Physician (Chiropractor) organization located in MURRAY, Utah. NPI 1649646969 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · MURRAY, UT

Registration Details

NPI Number
1649646969
Provider Type
Organization
NPI Issued
Aug 20, 2015 (10.802527070454 yrs)
Last Updated
Oct 9, 2025
Licenses
91235421202 (UT)
91235421202 (UT)

Practice Information

Address
1996 E 6400 S STE 260
MURRAY, UT, 841212173
Browse UT providers · Browse ZIP 84121
Phone
8019441855
Fax
3853515950
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
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.