Revitalize 3D
Revitalize 3D is a Physical Therapist in Provo, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 6
Practice location Address checks out
184 W 400 NProvo, UT 84601-2855
Phone: (785) 477-2647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|---|
| Ergonomics Physical Therapist | Taxonomy 2251E1200X |
| Geriatric Physical Therapist | Taxonomy 2251G0304X |
| Human Factors Physical Therapist | Taxonomy 2251H1300X |
| Sports Physical Therapist | Taxonomy 2251S0007X |
| Orthopedic Physical Therapist | Taxonomy 2251X0800X |
Record details
| NPI number | 1568139269 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Collins — Owner/Ceo · (785) 477-2647 |
| NPI enumerated | August 30, 2021 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | June 2, 2022 |
| Mailing address | 1427 S 680 W, Provo, UT 84601-5544 |
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