Revitalize Health & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REVITALIZE HEALTH & WELLNESS, LLC

Practice address

3018 W 56TH St
Minneapolis, MN 55410-2474

Phone

(817) 357-0711

NPI assigned

Jun 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joyce Cundiff, DCNPI 1205488244

Title

Owner

Phone

(612) 361-0068

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joyce Cundiff, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1205488244
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1619609781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 UPTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102927",
            "telephone_number": "817-357-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 W 56TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102474",
            "telephone_number": "817-357-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 Upton Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554102927",
            "country_code": "US",
            "telephone_number": "612-361-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVITALIZE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-361-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Ann Retzlaff, M.D.
• Reuben Lindh Family Services
• Cynthia Reuss
• Peter John Reuter, CNP
• Revelation Assessments & Counseling Services
• Revive Care Services Inc.
• Revive Care Services Inc.
• Revive Roots, PLLC (Reviving Roots Therapy & Wellness)
• Revive Wellness Center Inc
• Justin K Rewertz, LCSW

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.