RELIFE PRO CORPORATION NPI 1083421564

NPI Information

  • NPI: 1083421564
  • Provider Name: RELIFE PRO CORPORATION
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 9716 REDSTONE DR
    INDIAN LAND, SC
    ZIP 29707
  • Phone: (803) 992-9966

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NPI Details

RELIFE PRO CORPORATION is a chiropractor in Indian Land, SC. 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. RELIFE PRO CORPORATION NPI is 1083421564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9716 REDSTONE DR
INDIAN LAND, SC
ZIP 29707-406
Phone: (803) 992-9966

The provider's authorized official is Robert Provalenko .
The authorized official title is Owner and has the following contact phone number (803) 992-9966.

The enumeration date for this NPI number is 12/17/2024 and was last updated on 12/17/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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