Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

I-Revive PLLC

Organization Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1508473000

I-Revive PLLC is a Preventive Medicine/Occupational Environmental Medicine Physician in Grand Haven, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 Elliott Ave
Grand Haven, MI 49417-1038
Phone: (616) 566-1603
Fax: (616) 607-8588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1508473000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Converse — Ceo/Founder · (616) 377-8893
Other names My Medical Massage; My Medical Massage
NPI enumeratedSeptember 28, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing address525 Elliott Ave, Grand Haven, MI 49417-1038