| NPI | 1356223465 |
|---|---|
| Doing Business As | REVIVAL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KAMRYN SHOLLY Owner 262-492-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |