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Revived Mobility LLC — NPI 1336803030, Post Falls, ID | NPI Central

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NPI 1336803030

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Revived Mobility LLC

NPI 1336803030 · Physical Medicine & Rehabilitation Physician · Post Falls, ID

Provider details

NPI number: 1336803030
Entity type: Organization
Primary specialty: Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Daniel Mcgillen, Owner(630) 800-9226

Specialties & taxonomies

Physical Medicine & Rehabilitation PhysicianPrimary208100000X
Allopathic & Osteopathic Physicians

Practice location

2561 W Seltice Way

Post Falls, ID 83854-8093

Phone: (208) 981-0132

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

2561 W Seltice Way

Post Falls, ID 83854-8093

Other names (DBA / former)

Doing business as: Hybrid Health Center

Registry dates

Enumerated: 2021-10-28
Last updated: 2024-03-07
Certified: 2024-03-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.