Organization
RESTORE LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JOSEPH MOORE DC (PRESIDENT)
(774) 275-1214
Entity
Organization
Contact information
Practice address
1233 PARKWAY DR, ZIONSVILLE, IN 46077-1953
(774) 275-1214
Mailing address
1233 PARKWAY DR, ZIONSVILLE, IN 46077-1953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002857A
IN
Other
Enumeration date
10/09/2015
Last updated
04/13/2025
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