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

Revive Health Medical Weight Loss & Wellness

Organization Obesity Medicine (Family Medicine) Physician · NPI 1053168948

Revive Health Medical Weight Loss & Wellness is an Obesity Medicine (Family Medicine) Physician in Lakeville, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10627 165th St W
Lakeville, MN 55044-3517
Phone: (952) 243-5628
Show map & directions

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

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X

Record details

NPI number1053168948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaisa Schmitz — Owner · (952) 243-5628
NPI enumeratedApril 30, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address10627 165th St W, Lakeville, MN 55044-3517