Revive Chiropractic Wellness Center, LLC

NPI #1184950354 in Onalaska, Wisconsin

Provider Information

NPI Number: 1184950354
Entity Type: Organization
Organization Name: Revive Chiropractic Wellness Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 23, 2009
Last Updated: Oct 28, 2009

Practice Location

Address: 1438 MAIN ST
City: Onalaska
State: Wisconsin
ZIP Code: 54650
Phone: (608) 519-2519

Authorized Official

Name: JULIE MILLER, D.C.
Title: CHIROPRACTOR
Phone: (608) 519-2519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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