| Reveal Medspa | |
|
814 S 1040 W Payson UT 84651-4614 | |
| (385) 551-2929 | |
| Not Available |
| Full Name | Reveal Medspa |
|---|---|
| Speciality | Clinic/center |
| Location | 814 S 1040 W, Payson, Utah |
| Authorized Official Name and Position | Chantelle Elmer (OWNER/PROVIDER) |
| Authorized Official Contact | 8013676049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reveal Medspa 969 S 640 E Payson UT 84651-1628 Ph: (801) 367-6049 | Reveal Medspa 814 S 1040 W Payson UT 84651-4614 Ph: (385) 551-2929 |
| NPI Number | 1336988476 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336988476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
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