Organization
REVITALIZE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CHRISTINE CHAPEL DC (OWNER)
(636) 537-0564
Entity
Organization
Contact information
Practice address
936 CHESTERFIELD PKWY E, CHESTERFIELD, MO 63017-2042
(636) 537-0564
(314) 775-9870
Mailing address
936 CHESTERFIELD PKWY E, CHESTERFIELD, MO 63017-2042
(636) 537-0564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/14/2018
Last updated
10/18/2021
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