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Organization
REVIVE THERAPEUTICS
Active
Organization
REVIVE THERAPEUTICS
Active
Other names
Revive, Revive Active Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DANA KIRKWOOD-WATTS (OWNER)
(206) 760-1448
Entity
Organization
Contact information
Practice address
5100 S DAWSON ST, STE 104, SEATTLE, WA 98118-2100
(206) 760-1448
(206) 760-1730
Mailing address
5100 S DAWSON ST, STE 104, SEATTLE, WA 98118-2100
(206) 760-1448
(206) 760-1730
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
00000488
WA
225700000X
Massage Therapist
Primary
00023864
WA
Other
Enumeration date
04/21/2010
Last updated
10/05/2010
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