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

Revive Pain Centers PA

Organization Family Medicine Physician · NPI 1760005771

Revive Pain Centers PA provides Family Medicine Physician services in Minnetonka, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14525 Highway 7 Ste 375
Minnetonka, MN 55345-3741
Phone: (651) 308-6190
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 number1760005771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Stuckey — Authorized Official · (651) 308-6190
NPI enumeratedMay 26, 2020
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020
Mailing address14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741

Other providers in Minnetonka