REVITALIZE AND RESTORE THERAPY NPI 1780571380

NPI Information

  • NPI: 1780571380
  • Provider Name: REVITALIZE AND RESTORE THERAPY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 12515 MERIDIAN E STE 203
    PUYALLUP, WA
    ZIP 98373
  • Phone: (253) 693-8588

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NPI Details

REVITALIZE AND RESTORE THERAPY is a mental health counselor in Puyallup, WA. REVITALIZE AND RESTORE THERAPY NPI is 1780571380. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12515 MERIDIAN E STE 203
PUYALLUP, WA
ZIP 98373-436
Phone: (253) 693-8588

The provider's authorized official is Rachael Nadyne Jordan .
The authorized official title is Licensed Provider, Owner and has the following contact phone number (253) 693-8588.

The enumeration date for this NPI number is 6/18/2025 and was last updated on 6/18/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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