Organization
TOTAL RESTORATION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA GRAVES LPAT (EXECUTIVE DIRECTOR)
(502) 309-4746
Entity
Organization
Contact information
Practice address
2210 GOLDSMITH LN STE 222, LOUISVILLE, KY 40218-1070
(270) 765-3663
Mailing address
2210 GOLDSMITH LN STE 222, LOUISVILLE, KY 40218-1070
(270) 765-3663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
Other
Enumeration date
06/06/2017
Last updated
03/21/2025
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