Revitalife Wellness Center LLC
Revitalife Wellness Center LLC provides Family Medicine Physician services in Saint Louis, Missouri. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
777 S New Ballas Rd Ste 100ESaint Louis, MO 63141-8705 Not confirmed with CMS for 14 years — call before visiting
Phone: (314) 913-5861
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1104185685 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christina Robins — President · (314) 913-5861 |
| NPI enumerated | May 3, 2012 |
| Last updated in NPPES | May 23, 2012 |
| Mailing address | 11402 Oxbridge Ct, Saint Louis, MO 63146-5491 |
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