Provider Demographics
NPI:1003790841
Name:RELIVAGAIN4LYF LLC
Entity type:Organization
Organization Name:RELIVAGAIN4LYF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHNAUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-670-7985
Mailing Address - Street 1:4920 W THUNDERBIRD RD STE 120B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4914
Mailing Address - Country:US
Mailing Address - Phone:623-670-7985
Mailing Address - Fax:602-297-6750
Practice Address - Street 1:4920 W THUNDERBIRD RD STE 120B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4914
Practice Address - Country:US
Practice Address - Phone:623-670-7985
Practice Address - Fax:602-297-6750
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RELIVAGAIN4LYF LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy