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

Revitalize LLC

Organization Physician Assistant · NPI 1033090303

Revitalize LLC is a Physician Assistant in West Des Moines, Iowa. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1031 Ofc Park RD Ste 2
West Des Moines, IA 50265-2582
Phone: (515) 822-6384
Fax: (800) 507-4921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033090303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Sieve — Business Owner · (515) 822-6384
NPI enumeratedSeptember 11, 2025
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address1031 Office Park Rd Ste 2, West Des Moines, IA 50265-2582

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