Organization
BODYWORK REVIVE LIFE SPA
Active
Other names
ReVive Integrative Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LEE HOLAMON MMP (OWNER)
(325) 370-9222
Entity
Organization
Contact information
Practice address
2901 S 1ST ST, ABILENE, TX 79605-1813
(325) 660-6926
Mailing address
2901 S 1ST ST, ABILENE, TX 79605-1813
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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