Organization · Type 2 NPI
Revive Health Spa LLC
Clinic/Center · Bolivar, MO
NPI number
1487573879
Active
Practice location
107 N Main Ave
Bolivar, MO 65613-1517
Fax (800) 828-7117
Other practice locations
- 871 US Highway 60 E, Republic, MO 65738-1572 · (417) 298-6908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Bolivar
About NPI 1487573879
Revive Health Spa LLC's National Provider Identifier is 1487573879, issued on Jul 10, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bolivar, MO. The record was last updated on Jul 10, 2026.