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

Revive Wellness & Rejuvenation

Organization Physical Medicine & Rehabilitation Physician · NPI 1770930166

Revive Wellness & Rejuvenation is a Physical Medicine & Rehabilitation Physician in Glendale, Arizona. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

13934 N 59th Ave Ste 100
Glendale, AZ 85306-4167
Phone: (602) 595-7836
Fax: (602) 419-2210
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1770930166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Knox — Practice Administrator · (602) 595-7836
NPI enumeratedMay 16, 2016
Last updated in NPPESMay 16, 2016
Mailing address13934 N 59th Ave, Suite 100, Glendale, AZ 85306-4167

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