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REVENGE BODY BAR MEDSPA
NPI 1568160885
Clinic/Center - Health Service in Memphis, TN

Active since February 16, 2023CLIA 44D2247307 · Waiver
3242 PLAYERS CLUB CIR, MEMPHIS, TN 38125(901) 584-8165 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Revenge Body Bar Medspa NPPES

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

REVENGE BODY BAR MEDSPA (NPI 1568160885), doing business as Skin Ivy Wellness Spa, is a healthcare organization registered as a health service in Memphis, Tennessee and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Marquita Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1568160885
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameREVENGE BODY BAR MEDSPA
Location Address3242 PLAYERS CLUB CIRMemphis, TN 38125-8843
Mailing Address3242 Players Club CirMemphis, TN 38125-8843
Phone(901) 584-8165
Organization SubpartNo
Authorized OfficialMarquita WilliamsOwner · (901) 584-8165
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1568160885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3242 PLAYERS CLUB CIR, Memphis, TN 38125
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Other Names 1

Doing Business AsSkin Ivy Wellness Spa

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2247307

Revenge Body Bar Medspa · Memphis, TN
Active · expires Jan 4, 2028
CLIA Number44D2247307
Laboratory TypeMedspa
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorMarquita Williams
Laboratory Phone(901) 584-8165
Laboratory LocationRevenge Body Bar Medspa3169 Players Club Parkway, Memphis, TN 38125
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Revenge Body Bar Medspa's NPI number?

The NPI number for Revenge Body Bar Medspa is 1568160885. It was assigned to this organization in the NPPES registry on February 16, 2023. The provider is doing business as Skin Ivy Wellness Spa.

Where is Revenge Body Bar Medspa located?

Revenge Body Bar Medspa is located at 3242 Players Club Cir, Memphis, TN 38125. The listed phone number is (901) 584-8165.

What is Revenge Body Bar Medspa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Revenge Body Bar Medspa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2247307) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revenge Body Bar Medspa was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.