Revived Mobility LLC
NPI #1336803030 in Post Falls, Idaho
Provider Information
- NPI Number
- 1336803030
- Entity Type
- Organization
- Organization Name
- Revived Mobility LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 28, 2021
- Last Updated
- Mar 7, 2024
Practice Location
- Address
- 2561 W SELTICE WAY
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-8093
- Phone
- (208) 981-0132
Authorized Official
- Name
- DANIEL MCGILLEN
- Title
- OWNER
- Phone
- (630) 800-9226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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