Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVAL WELLNESS LLC
Active OrganizationREVIVAL WELLNESS LLC is a Adolescent Medicine organization located in MORRIS, Minnesota. NPI 1790653533 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · MORRIS, MN
Registration Details
- NPI Number
- 1790653533
- Provider Type
- Organization
- NPI Issued
- Oct 24, 2025 (0.8160756162448 yrs)
- Last Updated
- Oct 24, 2025
Practice Information
- Address
-
511 OREGON AVE PDT SUITE B3MORRIS, MN, 56267Browse MN providers · Browse ZIP 56267
- Phone
- 3204910594
- Fax
- 3204910594
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.