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

Revive Sport & Spine

Organization Chiropractor · NPI 1649646969

Revive Sport & Spine is a Chiropractor in Murray, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1996 E 6400 S Ste 260
Murray, UT 84121-2173
Phone: (801) 944-1855
Fax: (385) 351-5950
Show map & directions

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

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 91235421202 (UT)
Chiropractor Taxonomy 111N00000X · Licence 91235421202 (UT)

Record details

NPI number1649646969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Reheisse — Owner · (801) 944-1855
NPI enumeratedAugust 20, 2015
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address1996 E 6400 S Ste 260, Murray, UT 84121-2173

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