Organization
REVIVE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA SHRINER D.C. (CHIROPRACTOR)
(269) 599-5986
Entity
Organization
Contact information
Practice address
1258 E POWELL RD, LEWIS CENTER, OH 43035-8619
(614) 781-8808
Mailing address
6604 ALBANY WOODS BLVD, NEW ALBANY, OH 43054-8649
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4274
OH
Other
Enumeration date
05/09/2012
Last updated
05/22/2012
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