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REVIVE SPA HYDRATION PLLC
NPI 1326712100
Clinic/Center - Infusion Therapy in Tacoma, WA

Active since August 04, 2021
17609 29TH AVENUE CT E, TACOMA, WA 98445(253) 257-8340 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Spa Hydration Pllc NPPES

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

REVIVE SPA HYDRATION PLLC (NPI 1326712100), doing business as Revive Spa Hydration, is a healthcare organization registered as an infusion therapy in Tacoma, Washington and active in the NPI registry since August 2021. The organization lists Beth Ann Schubert, Owner, as its authorized official.

NPPES Registry Identity

NPI1326712100
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameREVIVE SPA HYDRATION PLLC
Location Address17609 29TH AVENUE CT ETacoma, WA 98445-4622
Mailing Address17609 29th Avenue Ct ETacoma, WA 98445-4622 · (253) 257-8340
Phone(253) 257-8340
Organization SubpartYesParent: Secure Alliance Ps Llc
Authorized OfficialBeth Ann SchubertOwner · (253) 257-8340
Enumeration DateAugust 4, 2021
Last NPPES UpdateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1326712100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X
Also ListedClinic/CenterTaxonomy 261Q00000X
17609 29TH AVENUE CT E, Tacoma, WA 98445
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Other Names 1

Doing Business AsRevive Spa Hydration

Other Identifiers 1

Medicaid1609417203WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Revive Spa Hydration PLLC's NPI number?

The NPI number for Revive Spa Hydration PLLC is 1326712100. It was assigned to this organization in the NPPES registry on August 4, 2021. The provider is doing business as Revive Spa Hydration.

Where is Revive Spa Hydration PLLC located?

Revive Spa Hydration PLLC is located at 17609 29th Avenue Ct E, Tacoma, WA 98445. The listed phone number is (253) 257-8340.

What is Revive Spa Hydration PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Revive Spa Hydration PLLC was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.