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

Revive Aesthetics & Spa Wasilla, LLC

Organization Clinic/Center · NPI 1982237921

Revive Aesthetics & Spa Wasilla, LLC is a Clinic/Center in Wasilla, Alaska. Registered with an NPI since 2020.

In the registry since
2020
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

1175 N Leatherleaf Loop Ste F
Wasilla, AK 99654-6527
Phone: (907) 373-7546
Fax: (907) 373-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1982237921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Morrow — Operations Manager · (907) 373-7546
Other names Revive
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address1175 N Leatherleaf Loop Ste F, Wasilla, AK 99654-6527

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