| NPI | 1194426247 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | RACHEL LYNN NELSON CEO/Chiropractor 701-739-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |