REVIVE SPA HYDRATION PLLC NPI 1326712100

NPI Information

REVIVE SPA HYDRATION PLLC is an infusion therapy clinic center in Tacoma, WA. REVIVE SPA HYDRATION PLLC NPI is 1326712100. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17609 29TH AVENUE CT E
TACOMA, WA
ZIP 98445-622
Phone: (253) 257-8340

The provider's authorized official is Beth Ann Schubert .
The authorized official title is Owner and has the following contact phone number (253) 257-8340.

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/6/2021.

Taxonomy Codes

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