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

Revival Chiropractic LLC

Organization Chiropractor · NPI 1033673389

Revival Chiropractic LLC is a Chiropractor in Fenton, Missouri. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

560 Old Smizer Mill Rd
Fenton, MO 63026-3538
Phone: (636) 492-1528
Fax: (314) 597-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1033673389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Carpenter — Owner/Chiropractor · (636) 492-1528
NPI enumeratedJanuary 30, 2019
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address560 Old Smizer Mill Rd, Fenton, MO 63026-3538

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