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

Revive Spa Hydration PLLC

Organization Infusion Therapy Registered Nurse · NPI 1326712100

Revive Spa Hydration PLLC is an Infusion Therapy Registered Nurse in Tacoma, Washington. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17609 29th Avenue Ct E
Tacoma, WA 98445-4622
Phone: (253) 257-8340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Nutrition Support Registered Nurse Taxonomy 163WN1003X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1326712100
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSecure Alliance Ps LLC
Authorized official Beth Schubert — Owner · (253) 257-8340
Other names Revive Spa Hydration
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address17609 29th Avenue Ct E, Tacoma, WA 98445-4622

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