# REVITALIZE ALABAMA L.L.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942975180
- **Authorized official:** MR. TRAVIS WOODLEY CRNP (PRESIDENT)
- **Authorized official phone:** (334) 734-7973

## Contact information

- **Practice address:** 105 1ST STREET, AUBURN, AL 36830-0000
- **Practice address phone:** (334) 734-7973
- **Mailing address:** PO BOX 2738, OPELIKA, AL 36803-2738
- **Mailing address phone:** (334) 734-7973

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2021
- **Last updated:** 10/06/2021