REVIVE CHIROPRACTIC AND REHABILITATION LLC NPI 1629311709

NPI Information

  • NPI: 1629311709
  • Provider Name: REVIVE CHIROPRACTIC AND REHABILITATION LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 12875 ROUTE 30 STE 25
    NORTH HUNTINGDON, PA
    ZIP 15642
  • Phone: (724) 382-5576

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NPI Details

REVIVE CHIROPRACTIC AND REHABILITATION LLC is a chiropractor in North Huntingdon, PA. 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. REVIVE CHIROPRACTIC AND REHABILITATION LLC NPI is 1629311709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12875 ROUTE 30 STE 25
NORTH HUNTINGDON, PA
ZIP 15642-595
Phone: (724) 382-5576

The provider's authorized official is Preston Mullens .
The authorized official title is Owner Llc and has the following contact phone number (814) 335-0454.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 2/26/2014.

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
1111N00000XChiropractorDC010524PENNSYLVANIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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