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REVIVE BODY & SKIN LLC
NPI 1346120458
Specialist/Technologist, Other in Norton Shores, MI

Active since September 08, 2025
635 W SUMMIT AVE, NORTON SHORES, MI 49441(407) 982-4876(407) 650-2754 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Body & Skin Llc NPPES

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

REVIVE BODY & SKIN LLC (NPI 1346120458) is a healthcare organization registered as a specialist/technologist, other in Norton Shores, Michigan and active in the NPI registry since September 2025. The organization lists Hadley Whitaker, Owner, as its authorized official.

NPPES Registry Identity

NPI1346120458
Entity TypeOrganization
Primary Taxonomy246Z00000X
Legal Business NameREVIVE BODY & SKIN LLC
Location Address635 W SUMMIT AVENorton Shores, MI 49441-4190
Mailing Address7575 Dr Phillips Blvd Ste 155Orlando, FL 32819-7220 · (407) 982-4876 · Fax (407) 650-2754
Phone(407) 982-4876
Fax(407) 650-2754
Organization SubpartNo
Authorized OfficialHadley WhitakerOwner · (407) 982-4876
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1346120458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
635 W SUMMIT AVE, Norton Shores, MI 49441
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

HADLEY WHITAKER
Specialist/Technologist, Other
635 W SUMMIT AVE
NORTON SHORES, MI 49441
Muskegon County (407) 982-4876
STEVEN WADE MILLER P.T.A.
Physical Therapy Assistant
635 W SUMMIT AVE
MUSKEGON, MI 49441
Muskegon County (231) 830-9030
RACHEL DANIELLE WESOLOWSKI OTR
Occupational Therapist
635 W SUMMIT AVE
MUSKEGON, MI 49441
Muskegon County (888) 488-9030
AMY D BALLOT MA,CCC/SLP
Speech-Language Pathologist
635 W SUMMIT AVE
MUSKEGON, MI 49441
Muskegon County (888) 488-9030
MR. THOMAS ANDREW DIXON P.T.A.
Contractor
635 W SUMMIT AVE
MUSKEGON, MI 49441
Muskegon County (231) 830-9030
CHRISTOPHER CHARLES FRIEDMANN P.T.A.
Physical Therapy Assistant
635 W SUMMIT AVE
MUSKEGON, MI 49441
Muskegon County (888) 488-9030

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 Body & Skin LLC's NPI number?

The NPI number for Revive Body & Skin LLC is 1346120458. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Revive Body & Skin LLC located?

Revive Body & Skin LLC is located at 635 W Summit Ave, Norton Shores, MI 49441. The listed phone number is (407) 982-4876.

What is Revive Body & Skin LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Revive Body & Skin LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.