| NPI | 1750153300 |
|---|---|
| Doing Business As | REVIVE INTEGRATIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE HOLAMON Owner 325-370-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |