Organization
REVIVE PRECISION CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGAN ELLWANGER DC (OWNER)
(402) 965-1895
Entity
Organization
Contact information
Practice address
15514 SPAULDING PLZ STE D06, OMAHA, NE 68116-6287
(402) 681-8638
Mailing address
15514 SPAULDING PLZ STE D06, OMAHA, NE 68116-6287
(402) 681-8638
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1861
NE
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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