Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revitalife Center, PA

Organization Chiropractor · NPI 1225306608

Revitalife Center, PA is a Chiropractor in Spring Lake Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8097 Highway 65 NE Ste 102
Spring Lake Park, MN 55432-4511
Phone: (763) 710-4085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5552 (MN)

Record details

NPI number1225306608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Pham — Owner/Chiropractor · (763) 710-4085
Other names Revitalife Center
NPI enumeratedDecember 13, 2011
Last updated in NPPESOctober 25, 2012
Mailing address8097 Highway 65 Ne Ste 102, Spring Lake Park, MN 55432-4511

Other providers in Spring Lake Park