# RIVER RESTORATIVE THERAPIES LLC

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

## Provider details

- **NPI number:** 1063786689
- **Authorized official:** CYNTHIA JANE NORDBY L.AC (ACUPUNCTUREST)
- **Authorized official phone:** (763) 248-3358

## Contact information

- **Practice address:** 14166 QUINCE ST NW, ANDOVER, MN 55304-4137
- **Practice address phone:** (763) 248-3358
- **Mailing address:** 14166 QUINCE ST NW, ANDOVER, MN 55304-4137
- **Mailing address phone:** (763) 248-3358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2012
- **Last updated:** 02/29/2012