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REVIVE PAIN CENTERS PA
NPI 1760005771
Family Medicine in Minnetonka, MN

Active since May 26, 2020
14525 HIGHWAY 7 STE 375, MINNETONKA, MN 55345(651) 308-6190 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Pain Centers Pa NPPES

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

REVIVE PAIN CENTERS PA (NPI 1760005771) is a healthcare organization registered as a family medicine in Minnetonka, Minnesota and active in the NPI registry since May 2020. The organization lists Troy Stuckey, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1760005771
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVIVE PAIN CENTERS PA
Location Address14525 HIGHWAY 7 STE 375Minnetonka, MN 55345-3741
Mailing Address14525 Highway 7 Ste 375Minnetonka, MN 55345-3741 · (651) 308-6190
Phone(651) 308-6190
Organization SubpartNo
Authorized OfficialTroy StuckeyAuthorized Official · (651) 308-6190
Enumeration DateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1760005771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14525 HIGHWAY 7 STE 375, Minnetonka, MN 55345
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. JOYCE KNIEFF ND, LAC
Naturopath
14525 HIGHWAY 7 STE 375
MINNETONKA, MN 55345
Hennepin County (320) 348-7424
DR. LEWIS M HOLM DC LAC
Chiropractor
14525 HIGHWAY 7 STE 375
MINNETONKA, MN 55345
Hennepin County (763) 900-6509
DR. JORDAN THERON KNIEFF ND
Naturopath
14525 HIGHWAY 7 STE 375
MINNETONKA, MN 55345
Hennepin County (320) 348-7424

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 Pain Centers PA's NPI number?

The NPI number for Revive Pain Centers PA is 1760005771. It was assigned to this organization in the NPPES registry on May 26, 2020.

Where is Revive Pain Centers PA located?

Revive Pain Centers PA is located at 14525 Highway 7 Ste 375, Minnetonka, MN 55345. The listed phone number is (651) 308-6190.

What is Revive Pain Centers PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Revive Pain Centers PA was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.