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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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