Revive Performance, INC.
Specialist/Technologist, Athletic Trainer in Oklahoma City, OK. Organization (NPI-2).
NPI number1932059631
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1932059631
- Entity type
- Organization (NPI-2)
- Legal business name
- Revive Performance, INC.
- Organization subpart
- No
- Enumeration date
- Feb 2, 2026
- Certification date
- Feb 1, 2026
- Last updated
- Feb 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3333 W Hefner RdOklahoma City, OK 73120-5060
Phone 405-237-5941 · Fax 405-237-5941
Mailing address
5012 Sw 129th CtOklahoma City, OK 73173-8882
Phone 405-237-5941
Authorized official
Ryan Clark
Owner, Athletic Trainer
4057784088
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All 41 Athletic Trainer providers in Oklahoma City · All 27,799 providers in Oklahoma City
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