Organization · Type 2 NPI
Revive Body & Skin LLC
Other Specialist/Technologist · Norton Shores, MI
NPI number
1346120458
Active
Practice location
635 W Summit Ave
Norton Shores, MI 49441-4190
Fax (407) 650-2754
Mailing address
7575 Dr Phillips Blvd Ste 155
Orlando, FL 32819-7220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
6 other providers at this address
- Amy D. Ballot, MA, CCC/SLPSpeech-Language Pathologist Muskegon, MI NPI 1326211467
- Christopher Charles Friedmann, P.T.A.Physical Therapy Assistant Muskegon, MI NPI 1730397142
- Hadley WhitakerOther Specialist/Technologist Norton Shores, MI NPI 1033099130
- Rachel Danielle Wesolowski, OTROccupational Therapist Muskegon, MI NPI 1164631347
- Steven Wade Miller, P.T.A.Physical Therapy Assistant Muskegon, MI NPI 1104028414
- Thomas Andrew Dixon, P.T.A.Contractor Muskegon, MI NPI 1548421654
About NPI 1346120458
Revive Body & Skin LLC's National Provider Identifier is 1346120458, issued on Sep 8, 2025. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Norton Shores, MI. The record was last updated on Sep 8, 2025.