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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVITALIZE LLC

Active Organization

REVITALIZE LLC is a Physician Assistant organization located in WEST DES MOINES, Iowa. NPI 1033090303 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WEST DES MOINES, IA

Registration Details

NPI Number
1033090303
Provider Type
Organization
NPI Issued
Sep 11, 2025 (0.95106472169131 yrs)
Last Updated
Sep 11, 2025

Practice Information

Address
1031 OFFICE PARK RD STE 2
WEST DES MOINES, IA, 502652582
Browse IA providers · Browse ZIP 50265
Phone
5158226384
Fax
8005074921
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Organizations in WEST DES MOINES, IA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.