Revival Chiropractic LLC

NPI #1033673389 in Fenton, Missouri

Provider Information

NPI Number: 1033673389
Entity Type: Organization
Organization Name: Revival Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 30, 2019
Last Updated: Feb 13, 2024

Practice Location

Address: 560 OLD SMIZER MILL RD
City: Fenton
State: Missouri
ZIP Code: 63026-3538
Phone: (636) 492-1528

Authorized Official

Name: DR. WILLIAM CARPENTER, DC
Title: OWNER/CHIROPRACTOR
Phone: (636) 492-1528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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