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Revitalized, LLC

Massage Therapist in Mint Hill, NC · enumerated 2022 · authorized official Daniel Fowler, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962149237

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Registry record

Entity type Organization (Type 2)
Legal business name Revitalized, LLC
Practice address 4421 Quail Ridge Dr, Mint Hill, NC, 28227
Phone (704) 800-4980
Enumeration date May 17, 2022
Last updated in NPPES May 17, 2022

Taxonomy & classification

225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Daniel Fowler
Title Owner
Phone (704) 800-4980

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Revitalized, LLC?
NPPES lists Daniel Fowler (Owner) as the authorized official for this organization.
What is the NPI number for Revitalized, LLC?
The NPI for Revitalized, LLC is 1962149237, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-17.