| NPI | 1699092395 |
|---|---|
| Doing Business As | REVIVE, REVIVE ACTIVE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANA KIRKWOOD-WATTS Owner 206-760-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 00023864) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 00000488) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-10-05 |