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

Revitalize Chiropractic and Sport

Organization Chiropractor · NPI 1629828157

Revitalize Chiropractic and Sport is a Chiropractor in Athens, Alabama. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

27453 Capshaw Rd Ste E
Athens, AL 35613-7565
Phone: (256) 343-4493
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1629828157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trina Clark — Doctor/Owner · (256) 343-4493
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address14814 Imperial Dr, Athens, AL 35613-7456

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