Organization
REVIVE HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA THOMPSON (MPT/OWNER)
(502) 387-7783
Entity
Organization
Contact information
Practice address
3541 PAOLI PIKE, FLOYDS KNOBS, IN 47119-9751
(502) 387-7783
(812) 941-0198
Mailing address
4213 STONE MOUNTAIN RD, NEW ALBANY, IN 47150-9233
(502) 387-7783
(812) 941-0198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004967A
IN
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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