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

Revitalize Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1114894417

Revitalize Physical Therapy PLLC is a Physical Therapy Clinic/Center in Vancouver, Washington. Registered with an NPI since 2025.

In the registry since
2025
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

2102 E McLoughlin Blvd
Vancouver, WA 98661-4130
Phone: (360) 448-3544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1114894417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Iggulden — Owner · (360) 448-3544
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address2102 E McLoughlin Blvd, Vancouver, WA 98661-4130

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