| NPI | 1811683519 |
|---|---|
| Doing Business As | REVIVE MOBILE PT LLC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SCHIFFERER Owner 970-736-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |