OrganizationActive
Revelation Inc.
NPI 1730731589 · Mastectomy Fitter · Decorah, IA
Provider details
- NPI number
- 1730731589
- Entity type
- Organization
- Primary specialty
- Mastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Renee Carlson, Owner(563) 382-6212
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
111 E Water St
Decorah, IA 52101-1801
Phone: (563) 382-6212
Fax: (563) 382-6420
Approximate (ZIP-level) locationGet directions
Mailing address
111 E Water St
Decorah, IA 52101-1801
Other names (DBA / former)
- Doing business as
- Revelation/Merle Norman Cosmetics/Les Wigs Renee
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.