Organization
REVIVE HEALTH AND CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ROBERT GORDON DC (OWNER)
(801) 899-9605
Entity
Organization
Contact information
Practice address
891 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(509) 270-3687
Mailing address
891 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(509) 270-3687
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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