Organization
REVIVO MASSAGE LLC
Active
Organization
REVIVO MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL THEODAT (OWNER)
(617) 504-2262
Entity
Organization
Contact information
Practice address
226 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8435
(617) 752-1710
Mailing address
107 GROVE ST, MELROSE, MA 02176-4631
(617) 504-2262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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