Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revitalize Chiropractic and Sport

Organization Chiropractor · NPI 1629828157

Revitalize Chiropractic and Sport provides Chiropractor services 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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