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REVITALIFE WELLNESS CENTER, LLC
NPI 1215794169
General Practice in Washington Court House, OH

Active since March 05, 2024
108 N HINDE ST, WASHINGTON COURT HOUSE, OH 43160(740) 406-1709(740) 888-1880 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2025, Jul 31, 2024, Mar 5, 2024 (3 updates tracked since 2024).

About Revitalife Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIFE WELLNESS CENTER, LLC (NPI 1215794169) is a healthcare organization registered as a general practice in Washington Court House, Ohio and active in the NPI registry since March 2024. The organization lists Emily Latona, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1215794169
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREVITALIFE WELLNESS CENTER, LLC
Location Address108 N HINDE STWashington Court House, OH 43160-1371
Mailing Address1670 Courtney DrWashington Court House, OH 43160-8914 · (740) 606-8308 · Fax (740) 888-1880
Phone(740) 406-1709
Fax(740) 888-1880
Organization SubpartNo
Authorized OfficialEmily LatonaCo-owner · (740) 406-1709
Enumeration DateMarch 5, 2024
Last NPPES UpdateMarch 7, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1215794169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
108 N HINDE ST, Washington Court House, OH 43160
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY LATONA LMT
Massage Therapist
108 N HINDE ST
WASHINGTON COURT HOUSE, OH 43160
Fayette County (740) 406-1709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalife Wellness Center, LLC's NPI number?

The NPI number for Revitalife Wellness Center, LLC is 1215794169. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Revitalife Wellness Center, LLC located?

Revitalife Wellness Center, LLC is located at 108 N Hinde St, Washington Court House, OH 43160. The listed phone number is (740) 406-1709.

What is Revitalife Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Revitalife Wellness Center, LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.