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Revive Chiropractic Wellness Center, Llc
Chiropractor in Little Canada, Minnesota
NPI 1487991600

Revive Chiropractic Wellness Center, Llc is a Chiropractor based in Little Canada, MN. Revive Chiropractic Wellness Center, Llc practices in Little Canada, MN. The NPI Number for Revive Chiropractic Wellness Center, Llc is 1487991600 and holds a License No. 5678 (Minnesota).

The current practice location address for Revive Chiropractic Wellness Center, Llc is 2800 Rice St Ste 158, Little Canada, MN and can be reached out via phone at 651-765-1320 and via fax at 651-765-1302.

Location: 2800 Rice St Ste 158, Little Canada, MN, 55113-2481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487991600
Provider Name
Revive Chiropractic Wellness Center, Llc
Credential
Provider Entity Type
Organization
Address
2800 Rice St Ste 158, Little Canada, MN, 55113-2481
Phone Number
651-765-1320
Fax Number
651-765-1302
Provider Enumeration Date
01/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2800 Rice St Ste 158
City
Little Canada
State
Minnesota
Zip
55113-2481
Phone Number
651-765-1320
Fax Number
651-765-1302
person
Provider Business Mailing Address Details
Address
2800 Rice St Ste 158
City
Little Canada
State
Minnesota
Zip
55113-2481
Phone Number
651-765-1320
Fax Number
651-765-1302
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5678 (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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