Organization
REVIVE LOW T, LLC
Active
Other names
Revive Low T Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA AARVIK (MANAGER)
(206) 960-4770
Entity
Organization
Contact information
Practice address
11903 NE 128TH ST, SUITE A, KIRKLAND, WA 98034-7209
(206) 960-4770
(866) 998-1837
Mailing address
11911 NE 132ND ST STE 103, KIRKLAND, WA 98034-2900
(206) 960-4770
(866) 998-1837
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60120417
WA
Other
Enumeration date
03/25/2014
Last updated
04/08/2019
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