Organization
REVIVE WELLNESS AND CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA BAADE D.C. (CHIROPRACTOR)
(319) 333-1299
Entity
Organization
Contact information
Practice address
808 5TH ST, CORALVILLE, IA 52241-2321
(319) 333-1299
Mailing address
890 GROUSE LN, NORTH LIBERTY, IA 52317-4855
(319) 621-6238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
085133
IA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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