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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

REVIVE HEALTH SPA LLC
NPI 1487573879
Clinic/Center in Bolivar, MO

Active since July 10, 2026
107 N MAIN AVE, BOLIVAR, MO 65613(417) 680-7060(800) 828-7117 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Health Spa Llc NPPES

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

REVIVE HEALTH SPA LLC (NPI 1487573879) is a healthcare organization registered as a clinic/center in Bolivar, Missouri and active in the NPI registry since July 2026. The organization maintains a secondary practice location in Republic and lists Shelby Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1487573879
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVIVE HEALTH SPA LLC
Location Address107 N MAIN AVEBolivar, MO 65613-1517
Mailing Address107 N Main AveBolivar, MO 65613-1517 · (417) 680-7060 · Fax (800) 828-7117
Phone(417) 680-7060
Fax(800) 828-7117
Organization SubpartNo
Authorized OfficialShelby BaileyOwner · (417) 298-6908
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 11, 2026
✔ NPI 1487573879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
107 N MAIN AVE, Bolivar, MO 65613
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Secondary Practice Location 1

Location 1871 US Highway 60 ERepublic, MO 65738-1572 · Phone (417) 298-6908 · Fax (800) 828-7117

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 Health Spa LLC's NPI number?

The NPI number for Revive Health Spa LLC is 1487573879. It was assigned to this organization in the NPPES registry on July 10, 2026.

Where is Revive Health Spa LLC located?

Revive Health Spa LLC is located at 107 N Main Ave, Bolivar, MO 65613. The listed phone number is (417) 680-7060.

What is Revive Health Spa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revive Health Spa LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.