| NPI | 1124320015 | 
|---|---|
| Doing Business As | REVIVE MASSAGE THERAPY & SPORTS WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | BHASKAR BHATNAGAR Owner 503-381-1404  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225700000X Massage Therapist | 
| Enumeration Date | 2010-11-26 | 
| Last Update Date | 2017-04-06 |