NPI 1033090303

Revitalize LLC

Organisation Physician Assistant West Des Moines, IA

Practice location

Address: 1031 Office Park Rd STE 2, West Des Moines, IA 50265-2582
Phone: (515) 822-6384
Fax: (800) 507-4921

Authorised official

Name: Amanda Sieve
Title: Business Owner
Phone: (515) 822-6384

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1033090303
Entity type: Organization
NPI issued: 11 Sep 2025
Record last updated: 29 Apr 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.