| NPI | 1245898899 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | CAITLIN BAKER Dr. 704-737-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-10-06 |