Organization
RESTORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON EASTMAN SKELTON PT (OWNER)
(662) 418-3108
Entity
Organization
Contact information
Practice address
101 S LAFAYETTE ST STE 12, STARKVILLE, MS 39759-2914
(662) 418-3108
Mailing address
219 TURNBERRY LN, STARKVILLE, MS 39759-5508
(662) 418-3108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
04/26/2020
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