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Organization
REVIVERSHIP
Active
Organization
REVIVERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE LEISHER (OWNER)
(858) 956-0077
Entity
Organization
Contact information
Practice address
162 S. RANCHO SANTA FE RD., A-30, ENCINITAS, CA 92024
(858) 956-0077
Mailing address
162 S. RANCHO SANTA FE RD., A-30, ENCINITAS, CA 92024
(858) 956-0077
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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