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REVITALIZE INTEGRATED BODY SYSTEMS
NPI 1124341813
Chiropractor in Menlo Park, CA

Active since March 09, 2010
1618 EL CAMINO REAL, MENLO PARK, CA 94025(408) 295-9970 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revitalize Integrated Body Systems NPPES

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

REVITALIZE INTEGRATED BODY SYSTEMS (NPI 1124341813) is a healthcare organization registered as a chiropractor in Menlo Park, California and active in the NPI registry since March 2010. The organization lists Angelique Waite, President, as its authorized official.

NPPES Registry Identity

NPI1124341813
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVITALIZE INTEGRATED BODY SYSTEMS
Location Address1618 EL CAMINO REALMenlo Park, CA 94025-4112
Mailing Address1618 El Camino RealMenlo Park, CA 94025-4112 · (408) 295-9970
Phone(408) 295-9970
Organization SubpartNo
Authorized OfficialAngelique WaitePresident · (408) 295-9970
Enumeration DateMarch 9, 2010
✔ NPI 1124341813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC30496
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.

1618 EL CAMINO REAL, Menlo Park, CA 94025
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARRET MICHAEL KELLY DC
Chiropractor
1618 EL CAMINO REAL
MENLO PARK, CA 94025
San Mateo County (650) 323-7427

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 Revitalize Integrated Body Systems's NPI number?

The NPI number for Revitalize Integrated Body Systems is 1124341813. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Revitalize Integrated Body Systems located?

Revitalize Integrated Body Systems is located at 1618 El Camino Real, Menlo Park, CA 94025. The listed phone number is (408) 295-9970.

What is Revitalize Integrated Body Systems'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 Revitalize Integrated Body Systems was last updated on March 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.