Organization · Type 2 NPI
Revive Spa Hydration PLLC
Infusion Therapy Clinic/Center · Tacoma, WA
NPI number
1326712100
Active
Practice location
17609 29th Avenue Ct E
Tacoma, WA 98445-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | None listed |
| Nutrition Support Registered Nurse | 163WN1003X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1326712100
Revive Spa Hydration PLLC's National Provider Identifier is 1326712100, issued on Aug 4, 2021. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Tacoma, WA. The record was last updated on Aug 6, 2021.