Organization · Type 2 NPI

Revive Wellness Center

Health Service Clinic/Center · Ashland, VA

NPI number 1417827965 Active

Practice location

12306 Quail Oak Ct
Ashland, VA 23005-7871

Fax (434) 217-1647

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

Another provider at this address

About NPI 1417827965

Revive Wellness Center's National Provider Identifier is 1417827965, issued on Nov 10, 2025. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Ashland, VA. The record was last updated on Nov 10, 2025.