Organization
RESTORE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH RAYHILL (ADMINISTRATOR)
(502) 810-8961
Entity
Organization
Contact information
Practice address
13125 EASTPOINT PARK BLVD STE 105, LOUISVILLE, KY 40223-3169
(502) 810-8961
Mailing address
4207 JEFFERS DR, NEW ALBANY, IN 47150-9312
(502) 810-8961
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NA
—
Enumeration date
02/07/2023
Last updated
01/20/2026
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