Organization
RESTORE WELLNESS & SPA
Active
Organization
RESTORE WELLNESS & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEASHA SHEPHERD (OWNER)
(229) 474-5006
Entity
Organization
Contact information
Practice address
415 COWART AVE STE B, VALDOSTA, GA 31602-2651
(229) 474-5006
Mailing address
415 COWART AVE STE B, VALDOSTA, GA 31602-2651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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