Organization
RESTORE WELLNESS LLC
Active
Organization
RESTORE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BLACKBURN (OWNER)
(469) 256-6661
Entity
Organization
Contact information
Practice address
158 AZTEC LN STE 104, VAN ALSTYNE, TX 75495-3451
(903) 227-1527
Mailing address
PO BOX 191088, DALLAS, TX 75219-8088
(469) 256-6661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
10/12/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up