# RESTORE OSTEOPATHIC MEDICINE LLC

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

## Provider details

- **NPI number:** 1558244897
- **Authorized official:** BENJAMIN TRACE KEATON DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (720) 957-8666

## Contact information

- **Practice address:** 10555 E DARTMOUTH AVE STE 200, AURORA, CO 80014-2673
- **Practice address phone:** (303) 991-4651
- **Mailing address:** 10555 E DARTMOUTH AVE STE 200, AURORA, CO 80014-2673
- **Mailing address phone:** (720) 957-8666
- **Mailing address fax:** (303) 991-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2025
- **Last updated:** 11/17/2025
