Organization
REVITALIFE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY LATONA (CO-OWNER)
(740) 406-1709
Entity
Organization
Contact information
Practice address
108 N HINDE ST, WASHINGTON COURT HOUSE, OH 43160-1371
(740) 406-1709
(740) 888-1880
Mailing address
1670 COURTNEY DR, WASHINGTON COURT HOUSE, OH 43160-8914
(740) 606-8308
(740) 888-1880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/07/2025
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