Organization
RESTORATIVE THERAPEUTICS, LLC.
Active
Organization
RESTORATIVE THERAPEUTICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIE T.N JOHNSON LMBT, MMP (PRACTITIONER/OWNER)
(919) 503-7483
Entity
Organization
Contact information
Practice address
14 CONSULTANT PL STE 250, DURHAM, NC 27707-6320
(919) 339-1835
(919) 629-4050
Mailing address
3243 BRIERHILL RD, NEW HILL, NC 27562-9360
(919) 503-7483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811347842
MASSAGE
—
Enumeration date
07/11/2023
Last updated
07/11/2023
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