Organization
REVIVE CHIROPRACTIC LLC
Active
Other names
Revive Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERI CARLISLE (BILLING/CREDENTIALING MANAGER)
(270) 821-9020
Entity
Organization
Contact information
Practice address
38 RIDGEWOOD PROFESSIONAL CT, MADISONVILLE, KY 42431-9486
(270) 821-9020
(270) 821-9750
Mailing address
38 RIDGEWOOD PROFESSIONAL CT, MADISONVILLE, KY 42431-9486
(270) 821-9020
(270) 821-9750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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