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

Revived Wellness LLC

Organization Family Medicine Physician · NPI 1891653523

Revived Wellness LLC is a Family Medicine Physician in Centerville, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

776 E 800 S
Centerville, UT 84014-2512
Phone: (801) 424-9922
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1891653523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Barker — Manager · (801) 499-2373
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address776 E 800 S, Centerville, UT 84014-2512

Other providers in Centerville