# RESTORE WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043917396
- **Authorized official:** BETH RAYHILL (ADMINISTRATOR)
- **Authorized official phone:** (502) 810-8961

## Contact information

- **Practice address:** 13125 EASTPOINT PARK BLVD STE 105, LOUISVILLE, KY 40223-3169
- **Practice address phone:** (502) 810-8961
- **Mailing address:** 4207 JEFFERS DR, NEW ALBANY, IN 47150-9312
- **Mailing address phone:** (502) 810-8961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 01/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00000 | NA | — |