Provider Type Icon

REVITALIZE CHIROPRACTIC LLC NPI 1891452371


NPI Information

NPI: 1891452371
Provider Name: REVITALIZE CHIROPRACTIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4575 23RD AVE S STE 1100
FARGO, ND
ZIP 58104
Phone: (701) 532-1672
Get Directions

REVITALIZE CHIROPRACTIC, LLC is a chiropractor in Fargo, ND. The provider is 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. REVITALIZE CHIROPRACTIC, LLC NPI is 1891452371. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4575 23RD AVE S STE 1100
FARGO, ND
ZIP 58104-052
Phone: (701) 532-1672

The provider's authorized official is Garrett Keith Schultz .
The authorized official title is Chiropractor/owner and has the following contact phone number (701) 532-1672.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 11/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.