| NPI | 1104650316 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE VADER Chiropractor 360-953-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-09-18 |