REVIVE THERAPEUTICS NPI 1699092395

NPI Information

REVIVE THERAPEUTICS is a massage therapist in Seattle, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. REVIVE THERAPEUTICS NPI is 1699092395. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Revive, Revive Active Therapy.

The provider's business location address is:

5100 S DAWSON ST
STE 104
SEATTLE, WA
ZIP 98118-100
Phone: (206) 760-1448
Fax: (206) 760-1730

The provider's authorized official is Dana Kirkwood-watts .
The authorized official title is Owner and has the following contact phone number (206) 760-1448.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 10/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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