Organization
REVIVE MASSAGE AND WELLNESS
Active
Other names
Revive Massage
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA JOHNSON (OWNER/OPERATOR)
(970) 443-5645
Entity
Organization
Contact information
Practice address
2956 GINNALA DR STE 205, LOVELAND, CO 80538-7825
(970) 614-4218
Mailing address
2956 GINNALA DR STE 205, LOVELAND, CO 80538-7825
(970) 614-4218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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