Organization · Type 2 NPI
Revitalized Wellness PLLC
Primary Care Clinic/Center · Sioux Falls, SD
NPI number
1760093025
Active
Practice location
326 E 8th St Apt 206
Sioux Falls, SD 57103-7038
Fax (605) 305-1175
Mailing address
401 E 8th St Ste 214-7054
Sioux Falls, SD 57103-7011
Other practice locations
- 71 Centennial Loop Ste A, Eugene, OR 97401-2443 · (605) 423-7557
- 6310 Bayshore Rd # 240, Palmetto, FL 34221-8429 · (605) 423-7557
- 1981 G Ave, Red Oak, IA 51566-4474 · (605) 423-7557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1760093025
Revitalized Wellness PLLC's National Provider Identifier is 1760093025, issued on Aug 11, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Sioux Falls, SD. The record was last updated on Aug 6, 2026.