Revival Health Center, LLC

NPI #1821755562 in Clive, Iowa

Provider Information

NPI Number: 1821755562
Entity Type: Organization
Organization Name: Revival Health Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 17, 2021
Last Updated: Nov 17, 2021

Practice Location

Address: 2200 NW 152ND ST.
Address 2: STE. C
City: Clive
State: Iowa
ZIP Code: 50325
Phone: (319) 795-1253

Authorized Official

Name: ANDREW O'BLENESS, DC
Title: OWNER
Phone: (319) 795-1253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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