Revive Family Chiropractic LLC

NPI #1073385597 in Milford, Michigan

Provider Information

NPI Number: 1073385597
Entity Type: Organization
Organization Name: Revive Family Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 27, 2023
Last Updated: Dec 7, 2023

Practice Location

Address: 1203 N MILFORD RD
City: Milford
State: Michigan
ZIP Code: 48381-1033
Phone: (248) 714-6127

Authorized Official

Name: SHAWNEE MANGINO, DC
Title: OWNER
Phone: (575) 207-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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