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

Revival Wellness LLC

Organization Adult Medicine Physician · NPI 1790653533

Revival Wellness LLC is an Adult Medicine Physician in Morris, Minnesota. 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.

See every abbreviation used in this directory →

Practice location Address checks out

511 Oregon Ave Pdt Ste B3
Morris, MN 56267
Phone: (320) 491-0594
Fax: (320) 491-0594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1790653533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Malek — Ceo · (320) 491-0594
NPI enumeratedOctober 24, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 7, 2025
Mailing address511 Oregon Ave, Morris, MN 56267-3712