IndividualActive
Beth Revard, RT
NPI 1396025821 · Computed Tomography Radiologic Technologist · Farmington Hills, MI
Provider details
- NPI number
- 1396025821
- Entity type
- Individual
- Primary specialty
- Computed Tomography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 186511 (MI)
Practice location
38878 Polo Club Dr
Apt #102
Farmington Hills, MI 48335-5612
Phone: (248) 790-3920
Mailing address
38878 Polo Club Dr
Farmington Hills, MI 48335-5612
Registry dates
- Enumerated
- 2011-08-29
- Last updated
- 2011-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.