Revived Wellness LLC

NPI #1891653523 in Centerville, Utah

Provider Information

NPI Number: 1891653523
Entity Type: Organization
Organization Name: Revived Wellness LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 12, 2026
Last Updated: Jan 12, 2026

Practice Location

Address: 776 E 800 S
City: Centerville
State: Utah
ZIP Code: 84014-2512
Phone: (801) 424-9922

Authorized Official

Name: JONATHAN BARKER, ADMINISTRATION
Title: MANAGER
Phone: (801) 499-2373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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