# REVIVE THERAPY HEALTH AND WELLNESS SERVICES LLC

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

## Provider details

- **NPI number:** 1982524120
- **Authorized official:** JACQUELINE PATTERSON DDS (OWNER)
- **Authorized official phone:** (725) 605-1599

## Contact information

- **Practice address:** 9345 W SUNSET RD \# 100, LAS VEGAS, NV 89148-4845
- **Practice address phone:** (725) 605-1599
- **Mailing address:** 9345 W SUNSET RD \# 100, LAS VEGAS, NV 89148-4845
- **Mailing address phone:** (725) 605-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2026
- **Last updated:** 07/17/2026