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

Revive Therapy

Organization Occupational Therapist · NPI 1730711060

Revive Therapy is an Occupational Therapist in Gillette, Wyoming. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

51 Town Center Dr Ste 110
Gillette, WY 82718-5521
Phone: (307) 622-1242
Fax: (307) 333-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1730711060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Smith — Owner · (307) 622-1242
NPI enumeratedFebruary 5, 2020
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing addressPo Box 2106, Gillette, WY 82717-2106

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