Revitalife Center, P.a.
NPI #1225306608 in Spring Lake Park, Minnesota
Provider Information
- NPI Number
- 1225306608
- Entity Type
- Organization
- Organization Name
- Revitalife Center, P.a.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Oct 25, 2012
Practice Location
- Address
- 8097 HIGHWAY 65 NE STE 102
- City
- Spring Lake Park
- State
- Minnesota
- ZIP Code
- 55432-4511
- Phone
- (763) 710-4085
Authorized Official
- Name
- DR. LINDA PHAM, D.C.
- Title
- OWNER/CHIROPRACTOR
- Phone
- (763) 710-4085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
Similar Providers
| Provider Name | |
|---|---|
| Trevor Velin, DC | |
| Linda Pham, D.C. | |
| DR. James D Jessen, D.C. | |
| DR. John Lawrence Lawton, D. C. | |
| DR. Alex Kent Fox, DC |
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