Revitalize Athletics, Pllc

NPI #1790411569 in Lakewood, Colorado

Provider Information

NPI Number: 1790411569
Entity Type: Organization
Organization Name: Revitalize Athletics, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Jul 25, 2022
Last Updated: Jul 25, 2022

Practice Location

Address: 9643 W 14TH AVE
City: Lakewood
State: Colorado
ZIP Code: 80215-4755
Phone: (626) 512-5559

Authorized Official

Name: TARA LOVELAND, DPT
Title: PHYSICAL THERAPIST/OWNER
Phone: (626) 512-5559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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