NPI 1407430317

Revitalize Spine & Sports Care PLLC

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Kennewick, WA

Practice location

Address: 4309 W 27th Pl STE 202, Kennewick, WA 99338-2908
Phone: (509) 591-4966

Authorised official

Name: John Groner
Title: Owner / MD
Phone: (509) 591-4966

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

Other Physical Medicine & Rehabilitation providers in Washington →

Registry record

NPI: 1407430317
Entity type: Organization
NPI issued: 6 May 2021
Record last updated: 6 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.