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Organization
REVITALIZE CHIROPRACTIC
Active
Organization
REVITALIZE CHIROPRACTIC
Active
Other names
Revitalize Chiropractic, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET EKEIWU (CREDENTIALING)
(404) 680-1004
Entity
Organization
Contact information
Practice address
600 E BAILEY BOSWELL RD STE 150, FT WORTH, TX 76131-3573
(817) 482-3388
(817) 704-0393
Mailing address
600 E BAILEY BOSWELL RD STE 150, FT WORTH, TX 76131-3573
(817) 482-3388
(817) 704-0393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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