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Revitalife Center, P.a.
Chiropractor in Spring Lake Park, Minnesota
NPI 1225306608

Revitalife Center, P.a. is a Chiropractor based in Spring Lake Park, MN. Revitalife Center, P.a. practices in Spring Lake Park, MN. The NPI Number for Revitalife Center, P.a. is 1225306608 and holds a License No. 5552 (Minnesota).

The current practice location address for Revitalife Center, P.a. is 8097 Highway 65 Ne Ste 102, Spring Lake Park, MN and can be reached out via phone at 763-710-4085.

Location: 8097 Highway 65 Ne Ste 102, Spring Lake Park, MN, 55432-4511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225306608
Provider Name
Revitalife Center, P.a.
Credential
Provider Entity Type
Organization
Address
8097 Highway 65 Ne Ste 102, Spring Lake Park, MN, 55432-4511
Phone Number
763-710-4085
Fax Number
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8097 Highway 65 Ne Ste 102
City
Spring Lake Park
State
Minnesota
Zip
55432-4511
Phone Number
763-710-4085
Fax Number
person
Provider Business Mailing Address Details
Address
8097 Highway 65 Ne Ste 102
City
Spring Lake Park
State
Minnesota
Zip
55432-4511
Phone Number
763-710-4085
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5552 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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