NPI 1073168241
Revitalist
Practice location
- Address
- 10608 Flickenger Ln, Knoxville, TN 37922-3485
- Phone
- (865) 392-6262
Authorised official
- Name
- Kathryn Walker
- Title
- Principal Employee
- Phone
- (865) 392-6262
Registered specialties (7)
Community/Behavioral Health Agency
Primary
Mental Health Counselor
Professional Counselor
Psychologist
Counseling Psychologist
Infusion Therapy Clinic/Center
Multi-Specialty Clinic/Center
Registry record
- NPI
- 1073168241
- Entity type
- Organization
- NPI issued
- 5 Aug 2019
- Record last updated
- 7 Mar 2025
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.