Organization
REVELATION WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT SHOEMAKER DC (OWNER / CHIROPRACTOR)
(402) 336-7133
Entity
Organization
Contact information
Practice address
316 E DOUGLAS ST, ONEILL, NE 68763-1830
(402) 336-7133
(877) 207-3713
Mailing address
316 E DOUGLAS ST, ONEILL, NE 68763-1830
(402) 336-7133
(877) 207-3713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1630
NE
225700000X
Massage Therapist
2629
NE
Other
Enumeration date
08/08/2013
Last updated
08/19/2013
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