OrganizationActive
Revive Sport & Spine
NPI 1649646969 · Sports Physician Chiropractor · Murray, UT
Provider details
- NPI number
- 1649646969
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Andrew Reheisse, Owner(801) 944-1855
- License
- 91235421202 (UT)
Specialties & taxonomies
Chiropractic Providers
Chiropractic Providers
Practice location
1996 E 6400 S Ste 260
Murray, UT 84121-2173
Phone: (801) 944-1855
Fax: (385) 351-5950
Approximate (ZIP-level) locationGet directions
Mailing address
1996 E 6400 S Ste 260
Murray, UT 84121-2173
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.