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

Revive Rx

Organization Prosthetic/Orthotic Supplier · NPI 1104608009

Revive Rx is a Prosthetic/Orthotic Supplier in Jonesboro, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1252 Todiway Ct
Jonesboro, GA 30238-6546
Phone: (770) 946-6976
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1104608009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krystal Dublin — Ceo · (770) 946-6976
Other names N/A
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address154 Rainbow Way Unit 257, Fayetteville, GA 30214-3994

Other providers in Jonesboro