Organization
RESTORATIVE WOMEN'S WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY KRISTIN BERRIER ATC, NTP, LMT (OWNER)
(208) 866-6549
Entity
Organization
Contact information
Practice address
2525 N STOKESBERRY PL UNIT A, MERIDIAN, ID 83646-1510
(208) 378-1517
(208) 939-8597
Mailing address
2525 N STOKESBERRY PL UNIT A, MERIDIAN, ID 83646-1510
(208) 378-1517
(208) 939-8597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-255
ID
2255A2300X
Athletic Trainer
AT-255
ID
Other
Enumeration date
09/07/2005
Last updated
04/06/2017
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