Medical school: LOGAN COLLEGE OF CHIROPRACTIC
Graduated: 2021
NPI: 1548938368
Practice Locations (2)
120 N E ST
TIPTON, IN 460721740
7656753755
REVIVAL CHIROPRACTIC LLC
560 OLD SMIZER MILL RD
FENTON, MO 630263538
6364921528
Source: CMS National Downloadable File, September 2026.