| Revive Chiropractic Care, Llc. | |
|
3151 Fish Hatchery Rd, Fitchburg, WI 53713 | |
| (620) 794-7234 | |
| Not Available |
| Full Name | Revive Chiropractic Care, Llc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3151 Fish Hatchery Rd, Fitchburg, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073243457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Madison Nichole Reiber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346719796 PECOS PAC ID: 9436493855 Enrollment ID: I20181211003009 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Chiropractic Care, Llc. 3609 Tura Rd, Mcfarland, WI 53558-9130 Ph: () - | Revive Chiropractic Care, Llc. 3151 Fish Hatchery Rd, Fitchburg, WI 53713 Ph: (620) 794-7234 |
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