Organization
RESTORE BALANCE INTEGRATIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA R KOGA FNP-BC (OWNER)
(573) 823-9247
Entity
Organization
Contact information
Practice address
2705 BRISTOL LAKE DR, COLUMBIA, MO 65201-7512
(573) 823-9247
Mailing address
2705 BRISTOL LAKE DR, COLUMBIA, MO 65201-7512
(573) 823-9247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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