Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVE SPA HYDRATION PLLC
Active OrganizationREVIVE SPA HYDRATION PLLC is a Infusion Therapy Clinic organization located in TACOMA, Washington. NPI 1326712100 is currently active in the NPPES registry. Verify at CMS.
Infusion Therapy Clinic · TACOMA, WA
Registration Details
- NPI Number
- 1326712100
- Provider Type
- Organization
- NPI Issued
- Aug 4, 2021 (5.0515529838065 yrs)
- Last Updated
- Aug 6, 2021
Practice Information
- Address
-
17609 29TH AVENUE CT ETACOMA, WA, 984454622Browse WA providers · Browse ZIP 98445
- Phone
- 2532578340
- Primary Specialty
-
Infusion Therapy Clinic
261QI0500X
- Additional Specialty
- Nutrition Support Nurse
- Additional Specialty
- Clinic/Center
- Additional Specialty
- Infusion Therapy Clinic
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.