Organization
REVIVE HEALTH SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY BAILEY NP (OWNER)
(417) 298-6908
Entity
Organization
Contact information
Practice address
107 N MAIN AVE, BOLIVAR, MO 65613-1517
(417) 680-7060
(800) 828-7117
Mailing address
107 N MAIN AVE, BOLIVAR, MO 65613-1517
(417) 680-7060
(800) 828-7117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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