Organization
REVITALIZE CHIROPRACTIC & SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE MCGAN-PROUT DC (OWNER/CHIROPRACTOR)
(413) 626-7369
Entity
Organization
Contact information
Practice address
181 ROOT RD, WESTFIELD, MA 01085-9837
(413) 273-7153
Mailing address
335 SARGEANT ST, HOLYOKE, MA 01040-2263
(413) 626-7369
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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