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REVELATION INC.
NPI 1730731589
Mastectomy Fitter in Decorah, IA

Active since July 11, 2019
111 E WATER ST, DECORAH, IA 52101(563) 382-6212(563) 382-6420 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 18, 2021, Jul 11, 2019 (2 updates tracked since 2019).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Group Taxonomy
  4. Authorized Official
  5. Other Providers Same Location
  6. Frequently Asked Questions
  • Organization
  • Mastectomy Fitter

About REVELATION INC.

This page provides the complete NPI Profile along with additional information for Revelation Inc., a provider established in Decorah, Iowa operating as a Mastectomy Fitter. The healthcare provider is registered in the NPI registry with number 1730731589 assigned on July 2019. The practitioner's primary taxonomy code is 224900000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Renee Carlson (Owner)

NPI
1730731589 Verify this NPI
Provider Name
REVELATION INC.
Entity Type
Organization
Location Address
111 E WATER ST DECORAH, IA 52101
Location Phone
(563) 382-6212
Location Fax
(563) 382-6420
Mailing Address
111 E WATER ST DECORAH, IA 52101
Mailing Phone
(563) 382-6212
Mailing Fax
(563) 382-6420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2019
Last Update Date
11-18-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Mastectomy Fitter

Taxonomy Code
224900000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RENEE CARLSON

Authorized Official Title
OWNER
Authorized Official Phone
(563) 382-6212

Reviews for REVELATION INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

RENEE BETH CARLSON
Mastectomy Fitter
111 E WATER ST
DECORAH, IA 52101
Winneshiek County (563) 382-6212

Frequently Asked Questions

What is REVELATION INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1730731589, enumerated as an "organization" on July 11, 2019.

Where is the provider located?

The provider is located at 111 E WATER ST DECORAH, IA 52101 and the phone number is (563) 382-6212.

What is the provider's specialty?

Mastectomy Fitter with taxonomy code 224900000X.