Organization
REVIVE HEALTH & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR D EASON DC (OWNER)
(269) 317-7577
Entity
Organization
Contact information
Practice address
336 N PEACHTREE AVE, COOKEVILLE, TN 38501-2551
(269) 317-7577
Mailing address
336 N PEACHTREE AVE, COOKEVILLE, TN 38501-2551
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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