| Revive Injury & Wellness | |
|
2931 N Tenaya Way Ste 204 Las Vegas NV 89128-0458 | |
| (725) 216-7859 | |
| (725) 216-7859 |
| Full Name | Revive Injury & Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2931 N Tenaya Way Ste 204, Las Vegas, Nevada |
| Authorized Official Name and Position | Chanel Lynn Balajadia (OWNER/CFO) |
| Authorized Official Contact | 7252167859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Injury & Wellness 2931 N Tenaya Way Ste 204 Las Vegas NV 89128-0458 Ph: (725) 216-7859 | Revive Injury & Wellness 2931 N Tenaya Way Ste 204 Las Vegas NV 89128-0458 Ph: (725) 216-7859 |
| NPI Number | 1225759764 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225759764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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