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REVIVE CHIROPRACTIC PC
NPI 1821407594
Chiropractor in Fort Mill, SC

Active since August 07, 2014
1808 SECOND BAXTER XING, STE 108, FORT MILL, SC 29708(803) 802-2225(803) 802-2275 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Chiropractic Pc NPPES

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

REVIVE CHIROPRACTIC PC (NPI 1821407594) is a healthcare organization registered as a chiropractor in Fort Mill, South Carolina and active in the NPI registry since August 2014. The organization lists Luke Mackinnon, President, as its authorized official.

NPPES Registry Identity

NPI1821407594
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVIVE CHIROPRACTIC PC
Location Address1808 SECOND BAXTER XING, STE 108Fort Mill, SC 29708-6436
Mailing Address1808 Second Baxter Xing, Ste 108Fort Mill, SC 29708-6436 · (803) 802-2225 · Fax (803) 802-2275
Phone(803) 802-2225
Fax(803) 802-2275
Organization SubpartNo
Authorized OfficialLuke MackinnonPresident · (803) 802-2225
Enumeration DateAugust 7, 2014
✔ NPI 1821407594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 2757
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.
1808 SECOND BAXTER XING, Fort Mill, SC 29708
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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 2

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

JEREMY L ADAMS FNP-C
Nurse Practitioner
1808 SECOND BAXTER XING
FORT MILL, SC 29708
York County (803) 802-2225
ADVANCED CHIROPRACTIC CLINIC, P.A.
Chiropractor (Neurology)
1808 SECOND BAXTER XING, SUITE 108
FORT MILL, SC 29708
York County (803) 802-2225

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 Revive Chiropractic PC's NPI number?

The NPI number for Revive Chiropractic PC is 1821407594. It was assigned to this organization in the NPPES registry on August 7, 2014.

Where is Revive Chiropractic PC located?

Revive Chiropractic PC is located at 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708. The listed phone number is (803) 802-2225.

What is Revive Chiropractic PC'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 Revive Chiropractic PC was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.