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

Beth H. Revard, RT

Individual provider Computed Tomography Radiologic Technologist · NPI 1396025821

Beth H. Revard, RT is a Computed Tomography Radiologic Technologist in Farmington Hills, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

38878 Polo Club Dr Apt #102
Farmington Hills, MI 48335-5612
Phone: (248) 790-3920
Show map & directions

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

Specialties & licences

Computed Tomography Radiologic Technologist (primary) Taxonomy 2471C3401X · Licence 186511 (MI)

Record details

NPI number1396025821
Entity typeIndividual (Type 1)
GenderFemale
Credentials RT
Sole proprietorYes
NPI enumeratedAugust 29, 2011
Last updated in NPPESAugust 29, 2011
Mailing address38878 Polo Club Dr, Apt #102, Farmington Hills, MI 48335-5612