Revive Sport & Spine

LBN: Revive Sport & Spine
Revive Sport & Spine is an health care organization with primary practice located at 7351 S Union Park Ave Ste 150 , Midvale UT 84047-1869. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is the primary health care specialty. Revive Sport & Spine can be contacted via phone (801) 944-1855, or through Reheisse, Andrew J via phone (801) 944-1855.

Contact Information

Primary practice address
7351 S Union Park Ave Ste 150 Midvale UT 84047-1869
Phone: (801) 944-1855
Fax: (385) 351-5950
Website:
Map and Directions
Authorized official contact:
Name: Reheisse, Andrew J Doctor of Chiropractic (DC)
Phone: (801) 944-1855

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 91235421202 Utah
Chiropractic Providers / Sports Physician 111NS0005X 91235421202 Utah

Profile Details

NPI number 1649646969
LBN Legal business name Revive Sport & Spine
DBA Doing business as
Authorized official Reheisse, Andrew J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2015
Last updated Oct 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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