Organization
REVIVAL WELLNESS, LLC
Active
Organization
REVIVAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAYLOR DANIELLE KIRK DPT (PHYSICAL THERAPIST)
(620) 412-3381
Entity
Organization
Contact information
Practice address
1949 N HIGHWAY 99, EMPORIA, KS 66801-8163
(620) 412-3381
Mailing address
1949 N HIGHWAY 99, EMPORIA, KS 66801-8163
(620) 412-3381
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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