# REJUVENATION MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447712559
- **Authorized official:** DR. JOSHUA B KRETCHMAR DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (817) 789-2639

## Contact information

- **Practice address:** 2222 MERIDIAN AVE E STE A, EDGEWOOD, WA 98371-1032
- **Practice address phone:** (206) 407-4171
- **Practice address fax:** (253) 294-7069
- **Mailing address:** 2222 MERIDIAN AVE E STE A, EDGEWOOD, WA 98371-1032
- **Mailing address phone:** (206) 407-4171
- **Mailing address fax:** (253) 294-7069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 10/16/2026