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RELIFE PRO CORPORATION
NPI 1083421564
Chiropractor in Indian Land, SC

Active since December 17, 2024
9716 REDSTONE DR, INDIAN LAND, SC 29707(803) 992-9966 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Relife Pro Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RELIFE PRO CORPORATION (NPI 1083421564), doing business as Healthsource Of Indian Land, Sc, is a healthcare organization registered as a chiropractor in Indian Land, South Carolina and active in the NPI registry since December 2024. The organization lists Robert Provalenko, Owner, as its authorized official.

NPPES Registry Identity

NPI1083421564
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRELIFE PRO CORPORATION
Location Address9716 REDSTONE DRIndian Land, SC 29707-5406
Mailing Address9716 Redstone DrIndian Land, SC 29707-5406 · (803) 992-9966
Phone(803) 992-9966
Organization SubpartNo
Authorized OfficialRobert ProvalenkoOwner · (803) 992-9966
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1083421564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9716 REDSTONE DR, Indian Land, SC 29707
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Other Names 1

Doing Business AsHealthsource Of Indian Land, Sc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Relife Pro Corporation's NPI number?

The NPI number for Relife Pro Corporation is 1083421564. It was assigned to this organization in the NPPES registry on December 17, 2024. The provider is doing business as HealthSource of Indian Land, SC.

Where is Relife Pro Corporation located?

Relife Pro Corporation is located at 9716 Redstone Dr, Indian Land, SC 29707. The listed phone number is (803) 992-9966.

What is Relife Pro Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Relife Pro Corporation was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.