Revive Health and Injury Center, LLC
NPI #1720554959 in Springfield, Ohio
Provider Information
- NPI Number
- 1720554959
- Entity Type
- Organization
- Organization Name
- Revive Health and Injury Center, LLC
- Primary Specialty
- Nurse Practitioner - Acute Care
- Enumeration Date
- Oct 15, 2018
- Last Updated
- Dec 14, 2022
Practice Location
- Address
- 333 N LIMESTONE ST STE 104
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45503-4250
- Phone
- (937) 319-4343
Authorized Official
- Name
- JASON A MALUCCI, DC
- Title
- OWNER OF ENTITY
- Phone
- (610) 999-1815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Nurse Practitioner - Acute Care — Acute Care |
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