Organization
REVIVE CHIROPRACTIC AND WELLNESS, PLLC
Active
Other names
Revive Chiropractic and Wellness, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE WIGGINS DC (OWNER)
(865) 368-6295
Entity
Organization
Contact information
Practice address
1740 US-411, UNIT 1, VONORE, TN 37885
(423) 420-7111
Mailing address
115 WARBLER CT, VONORE, TN 37885-2046
(865) 368-6295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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