NPI 1023825999

Revival Acupuncture Clinic LLC

Organisation Acupuncturist Fairfax, VA

Practice location

Address: 9685 Main St STE C, Fairfax, VA 22031-3752
Phone: (301) 747-5336
Mailing address: 4277 Sleepy Lake Dr, Fairfax, VA 22033-2864

Authorised official

Name: Rhea Kim
Title: Acupuncturist
Phone: (571) 301-9661

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X

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Registry record

NPI: 1023825999
Entity type: Organization
NPI issued: 14 Dec 2024
Record last updated: 5 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.