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Revitalized, LLC

Revitalized, LLC is a healthcare organization registered as Massage Therapist in Mint Hill, NC, holding Type 2 (organization) NPI 1962149237 since 2022. The authorized official on file is Daniel Fowler, Owner.

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NPI 1962149237
Entity type Organization (Type 2)
Legal business name Revitalized, LLC
Practice address 4421 QUAIL RIDGE DR, Mint Hill, NC, 28227
Phone 7048004980
Enumeration date 2022-05-17
Last updated in NPPES 2022-05-17

Authorized official

Name Daniel Fowler
Title Owner
Phone 7048004980

Taxonomy & classification

Taxonomy code Specialty Primary License State
225700000X Massage Therapist Primary
Copy-ready billing details
Provider: Revitalized, LLC
NPI: 1962149237
Taxonomy: 225700000X (Massage Therapist)
Address: 4421 QUAIL RIDGE DR, Mint Hill, NC, 28227

Verify this record

Cross-check NPI 1962149237 against the authoritative CMS record: view Revitalized, LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 2026-07-11. Provider record last updated 2022-05-17.