MEDICARE: REVITALIZE DAY SPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2706122912	MI

General Provider Information

NPI Number	:	1093088288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVITALIZE DAY SPA

Provider Business Mailing Address
First Line	:	751 CHESTNUT ST
Second Line	:	SUITE 203 AND 205
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6461
Country	:	US
Telephone Number	:	248-530-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 CHESTNUT ST
Second Line	:	203
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6461
Country	:	US
Telephone Number	:	248-530-4772
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHRIS JOHN YGAY
Credential	:
Telephone Number	:	248-530-4772

Provider Enumeration Date	:	02/17/2012
Last Update Date	:	02/17/2012

Similar Medicare Providers

1699889618 — CAROLYN S WAY DDS PC
Practice Location Address:

751 CHESTNUT ST , SUITE 103
BIRMINGHAM, MI
48009-6461

Practice Phone: 248-647-1144
Practice Fax: 248-647-0380

1578675005 — SCHUYLER V HAMILL D. D. S.
Practice Location Address:

751 CHESTNUT ST , SUITE 105
BIRMINGHAM, MI
48009-6461

Practice Phone: 248-642-3320
Practice Fax: 248-642-5840

1699985598 — D.C. BONADEO, D.D.S., P.C.
Practice Location Address:

751 CHESTNUT ST , SUITE 101
BIRMINGHAM, MI
48009-6461

Practice Phone: 248-647-2109
Practice Fax: 248-647-1804

1851500268 — DR. DAVID J SONG M.D.
Practice Location Address:

751 CHESTNUT ST , SUITE 201
BIRMINGHAM, MI
48009-6461

Practice Phone: 248-644-5328
Practice Fax:

1720524218 — BIRMINGHAM SKIN & HAIR AESTHETICS PLLC
Practice Location Address:

751 CHESTNUT ST , SUITE 102
BIRMINGHAM, MI
48009-6461

Practice Phone: 248-593-1000
Practice Fax:

1154935393 — BIRMINGHAM DENTISTRY PLLC
Practice Location Address:

751 CHESTNUT ST
BIRMINGHAM, MI
48009-6461

Practice Phone: 248-644-8520
Practice Fax:

Directions to “REVITALIZE DAY SPA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.