NPI 1528735602

Revive & Remedy, LLC

Organisation Point of Service Bartlett, TN

Practice location

Address: 2851 Shelby St, Bartlett, TN 38134-4509
Phone: (901) 335-8541
Fax: (901) 425-9685

Authorised official

Name: Terri Trichel Wallace-Basken
Title: Owner
Phone: (901) 335-8541

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Tennessee →

Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Tennessee →

Registry record

NPI: 1528735602
Entity type: Organization
NPI issued: 25 Aug 2021
Record last updated: 2 Feb 2022

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.