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Revive Spa Hydration Pllc
Infusion Therapy Clinic/Center in Tacoma, Washington
NPI 1326712100

Revive Spa Hydration Pllc is a Infusion Therapy Clinic/Center based in Tacoma, WA and is specialized in Infusion Therapy. Revive Spa Hydration Pllc practices in Tacoma, WA. The NPI Number for Revive Spa Hydration Pllc is 1326712100 and holds a License No. (Washington).

The current practice location address for Revive Spa Hydration Pllc is 17609 29Th Avenue Ct E, Tacoma, WA and can be reached out via phone at 253-257-8340.

Location: 17609 29Th Avenue Ct E, Tacoma, WA, 98445-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326712100
Provider Name
Revive Spa Hydration Pllc
Credential
Provider Entity Type
Organization
Address
17609 29Th Avenue Ct E, Tacoma, WA, 98445-4622
Phone Number
253-257-8340
Fax Number
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609417203 05 WA
institution
Provider Business Practice Location Address Details
Address
17609 29Th Avenue Ct E
City
Tacoma
State
Washington
Zip
98445-4622
Phone Number
253-257-8340
Fax Number
person
Provider Business Mailing Address Details
Address
17609 29Th Avenue Ct E
City
Tacoma
State
Washington
Zip
98445-4622
Phone Number
253-257-8340
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Infusion Therapy
Taxonomy
163WI0500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Nutrition Support
Taxonomy
163WN1003X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
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