Revive Llc

LBN: Revive Llc
Revive Llc is an health care organization with primary practice located at 2601 S Lemay Ave Suite 35, Fort Collins CO 80525-2295. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Revive Llc can be contacted via phone (970) 682-2038, or through Ewton, Breke via phone (970) 682-2038.

Contact Information

Primary practice address
2601 S Lemay Ave Suite 35 Fort Collins CO 80525-2295
Phone: (970) 682-2038
Fax: (970) 682-2592
Website:
Map and Directions
Authorized official contact:
Name: Ewton, Breke
Phone: (970) 682-2038

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0016731 Colorado

Profile Details

NPI number 1861892127
LBN Legal business name Revive Llc
DBA Doing business as
Authorized official Ewton, Breke
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2014
Last updated Aug 23rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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