# RESTORE PHYSICAL THERAPY & PELVIC HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restore Physical Therapy & Pelvic Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942037312
- **Authorized official:** KELLY BROWN GROSS PT, WCS (PHYSICAL THERAPIST)
- **Authorized official phone:** (515) 250-1477

## Contact information

- **Practice address:** 6130 BRANDYWINE DR, JOHNSTON, IA 50131-8739
- **Practice address phone:** (515) 250-1477
- **Mailing address:** 6130 BRANDYWINE DR, JOHNSTON, IA 50131-8739
- **Mailing address phone:** (515) 250-1477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024