| NPI | 1285202143 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ADAM JOSHUA CARR Owner/AO 978-851-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-11-11 |