| Revitalize 3d | |
|
184 W 400 N, Provo, UT 84601-2855 | |
| (785) 477-2647 | |
| Not Available |
| Full Name | Revitalize 3d |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 184 W 400 N, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568139269 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize 3d 1427 S 680 W, Provo, UT 84601-5544 Ph: (785) 477-2647 | Revitalize 3d 184 W 400 N, Provo, UT 84601-2855 Ph: (785) 477-2647 |
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