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Organization

VALLEY CHIROPRACTIC AND ACUPUNCTURE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE REVELS DC (CHIROPRACTOR)
(402) 640-1943
Entity
Organization

Contact information

Practice address
333 N SPRUCE ST STE 101, VALLEY, NE 68064-9605
(402) 640-1943
Mailing address
1873 N 152ND PLZ, OMAHA, NE 68154-1071

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1797
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447660790
NPI
01
1797
LICENSE NUMBER
NE
Enumeration date
01/09/2018
Last updated
01/09/2018
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