Organization
REVIVE CHIROPRACTIC WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSIE L. MILLER D.C. (OWNER)
(651) 765-1320
Entity
Organization
Contact information
Practice address
2800 RICE ST STE 158, LITTLE CANADA, MN 55113-2481
(651) 765-1320
(651) 765-1302
Mailing address
2800 RICE ST STE 158, LITTLE CANADA, MN 55113-2481
(651) 765-1320
(651) 765-1302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5678
MN
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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