Organization
REVIVE SPORT & SPINE
Active
Organization
REVIVE SPORT & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J REHEISSE D.C. (OWNER)
(801) 944-1855
Entity
Organization
Contact information
Practice address
1996 E 6400 S STE 260, MURRAY, UT 84121-2173
(801) 944-1855
(385) 351-5950
Mailing address
1996 E 6400 S STE 260, MURRAY, UT 84121-2173
(801) 944-1855
(385) 351-5950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
91235421202
UT
111NS0005X
Sports Physician Chiropractor
Primary
91235421202
UT
Other
Enumeration date
08/20/2015
Last updated
10/09/2025
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