# RESTORATIVE WOMEN'S WELLNESS, LLC

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

## Provider details

- **NPI number:** 1366436313
- **Authorized official:** CHARITY KRISTIN BERRIER ATC, NTP, LMT (OWNER)
- **Authorized official phone:** (208) 866-6549

## Contact information

- **Practice address:** 2525 N STOKESBERRY PL UNIT A, MERIDIAN, ID 83646-1510
- **Practice address phone:** (208) 378-1517
- **Practice address fax:** (208) 939-8597
- **Mailing address:** 2525 N STOKESBERRY PL UNIT A, MERIDIAN, ID 83646-1510
- **Mailing address phone:** (208) 378-1517
- **Mailing address fax:** (208) 939-8597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | AT-255 | ID | Yes |
| 2255A2300X | Athletic Trainer | AT-255 | ID | — |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 04/06/2017