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

Revive IV Hydration Therapy

Organization Infusion Therapy Clinic/Center · NPI 1205534583

Revive IV Hydration Therapy is an Infusion Therapy Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4747 E Elliot Rd # 109
Phoenix, AZ 85044-1627
Phone: (480) 876-1148
Show map & directions

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

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X

Record details

NPI number1205534583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samah Mohamed — Owner · (720) 935-1490
Other names Hydra The Hydration Spa
NPI enumeratedFebruary 16, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address4747 E Elliot Rd # 109, Phoenix, AZ 85044-1627

Other providers in Phoenix