Bodywork Revive Life Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BODYWORK REVIVE LIFE SPA

Practice address

2901 S 1St St
Abilene, TX 79605-1813

Phone

(325) 660-6926

NPI assigned

Oct 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Lee Holamon, MMPNPI 1740052398

Title

Owner

Phone

(325) 370-9222

Specialties & licenses 1

Addresses

Other names 1

• ReVive Integrative Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Lee Holamon, LMT,MMP

  • Massage Therapist
  • Abilene, TX
  • NPI 1740052398
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1750153300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S 1ST ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S 1ST ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051813",
            "telephone_number": "325-660-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORK REVIVE LIFE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "HOLAMON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-370-9222",
        "authorized_official_credential": "MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReVive Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Bloch
• Charles R Bloomer, D.D.S.
• Kofi Boamah-Acheampong, PHARM.D
• Donna Lou Boatwright, PHARMD
• Body Worx Physical Therapy
• Linda Rae Boeshart, MS CCC/SLP
• Johnathon Bogard
• Karin Denise Boggs, LCDC
• Nathan Edward Boles
• Courtney Bolin, DPT

• All providers in Abilene, TX
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.