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

Revive Body & Skin LLC

Organization Other Specialist/Technologist · NPI 1346120458

Revive Body & Skin LLC is an Other Specialist/Technologist in Norton Shores, Michigan. 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

635 W Summit Ave
Norton Shores, MI 49441-4190
Phone: (407) 982-4876
Fax: (407) 650-2754
Show map & directions

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

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1346120458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hadley Whitaker — Owner · (407) 982-4876
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address7575 Dr Phillips Blvd Ste 155, Orlando, FL 32819-7220

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