Revive Wellness & Rejuvenation

LBN: Revive Wellness & Rejuvenation
Revive Wellness & Rejuvenation is an health care organization with primary practice located at 13934 N 59Th Ave Suite 100, Glendale AZ 85306-4167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Revive Wellness & Rejuvenation can be contacted via phone (602) 595-7836, or through Knox, Stephanie via phone (602) 595-7836.

Contact Information

Primary practice address
13934 N 59Th Ave Suite 100 Glendale AZ 85306-4167
Phone: (602) 595-7836
Fax: (602) 419-2210
Website:
Map and Directions
Authorized official contact:
Name: Knox, Stephanie
Phone: (602) 595-7836

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1770930166
LBN Legal business name Revive Wellness & Rejuvenation
DBA Doing business as
Authorized official Knox, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2016
Last updated May 16th, 2016 - about 8 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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