OrganizationActive
Revitalized Wellness PLLC
NPI 1760093025 · Primary Care Clinic/Center · Sioux Falls, SD
Provider details
- NPI number
- 1760093025
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristi Ross, Owner(251) 979-9825
Specialties & taxonomies
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
326 E 8th St Apt 206
Sioux Falls, SD 57103-7038
Phone: (605) 423-7557
Fax: (605) 305-1175
Approximate (ZIP-level) locationGet directions
Mailing address
401 E 8th St Ste 214-7054
Sioux Falls, SD 57103-7011
Additional practice locations (2)
- 6310 Bayshore Rd # 240Palmetto, FL 34221-8429Phone: (605) 423-7557Fax: (605) 305-1175
- 74 E 18th Ave Ste 12Eugene, OR 97401-4081Phone: (605) 423-7557Fax: (605) 305-1175
Registry dates
- Enumerated
- 2020-08-11
- 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.