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

Revive Health Center of Utah LLC

Organization Licensed Practical Nurse · NPI 1184042236

Revive Health Center of Utah LLC is a Licensed Practical Nurse in Layton, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
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

3080 N Fairfield Rd Ste 1
Layton, UT 84041-8694
Phone: (801) 820-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 1851542872 (UT)

Record details

NPI number1184042236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Tippetts — Administrator · (801) 820-6585
NPI enumeratedApril 4, 2014
Last updated in NPPESApril 4, 2014
Mailing address3080 N Fairfield Rd, Suite 1, Layton, UT 84041-8694

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