# REVIVE CHIROPRACTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063771186
- **Authorized official:** DR. SAMANTHA SHRINER D.C. (CHIROPRACTOR)
- **Authorized official phone:** (269) 599-5986

## Contact information

- **Practice address:** 1258 E POWELL RD, LEWIS CENTER, OH 43035-8619
- **Practice address phone:** (614) 781-8808
- **Mailing address:** 6604 ALBANY WOODS BLVD, NEW ALBANY, OH 43054-8649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4274 | OH | Yes |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 05/22/2012