REVITALIZE INTEGRATED BODY SYSTEMS NPI 1124341813

NPI Information

REVITALIZE INTEGRATED BODY SYSTEMS is a chiropractor in Menlo Park, CA. 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 INTEGRATED BODY SYSTEMS NPI is 1124341813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1618 EL CAMINO REAL
MENLO PARK, CA
ZIP 94025-112
Phone: (408) 295-9970

The provider's authorized official is Angelique Waite .
The authorized official title is President and has the following contact phone number (408) 295-9970.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.

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:

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