Revive Chiropractic Inc.

NPI #1326541715 in Grimes, Iowa

Provider Information

NPI Number: 1326541715
Entity Type: Organization
Organization Name: Revive Chiropractic Inc.
Primary Specialty: Chiropractor
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 241 SE DESTINATION DR STE 300
City: Grimes
State: Iowa
ZIP Code: 50111-8901
Phone: (515) 745-3142

Authorized Official

Name: DR. BREA NEWELL DANNER, DC
Title: PRESIDENT
Phone: (515) 745-3142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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