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 provides Chiropractor services 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.

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Practice location Address checks out

8097 Highway 65 NE Ste 102
Spring Lake Park, MN 55432-4511 Not confirmed with CMS for 13 years — call before visiting
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