Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revive Ink Studio, LLC

Organization Other Specialist/Technologist · NPI 1306758586

Revive Ink Studio, LLC provides Other Specialist/Technologist services in Madison, Alabama. Registered with an NPI since 2026.

In the registry since
2026
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

12205 County Line Rd Ste F
Madison, AL 35758-7720
Phone: (256) 400-0771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1306758586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erika John — Owner · (904) 907-0143
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026
Mailing address209 Wilson Hall Dr, Madison, AL 35757-8701

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