REVITALIZED WELLNESS PLLC is a primary care clinic center in Sioux Falls, SD. REVITALIZED WELLNESS PLLC NPI is 1760093025. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
326 E 8TH ST APT 206
SIOUX FALLS, SD
ZIP 57103-038
Phone: (605) 423-7557
Fax: (605) 305-1175
The provider's authorized official is Kristi Lynn Ross .
The authorized official title is Owner and has the following contact phone number (251) 979-9825.
The CLIA number assigned to this NPI record is 38D2270000 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/11/2020 and was last updated on 3/7/2024.