Organization · Type 2 NPI

Revivify Beauty Salon & Spa, LLC

Prosthetic/Orthotic Supplier · Orlando, FL

NPI number 1659244143 Active

Practice location

5041 Edgewater Dr
Orlando, FL 32810-5226

Call (407) 205-9393 Map

Fax (407) 201-4460

Mailing address

1600 The Oaks Blvd
Kissimmee, FL 34746-3829

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1659244143

Revivify Beauty Salon & Spa, LLC's National Provider Identifier is 1659244143, issued on Sep 29, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Orlando, FL. The record was last updated on Sep 29, 2025.