MEDICARE: RESTORATION HEALTH OF CONWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1518839380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATION HEALTH OF CONWAY

Provider Business Mailing Address
First Line	:	2235 DAVE WARD DR STE 105
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-7040
Country	:	US
Telephone Number	:	501-400-7700
Fax Number	:	501-244-3784

Provider Business Practice Location Address
First Line	:	2235 DAVE WARD DR STE 105
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-7040
Country	:	US
Telephone Number	:	501-400-7700
Fax Number	:	501-277-3784

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL R BUTLER
Credential	:	DC
Telephone Number	:	501-400-7700

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	12/18/2025

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Directions to “RESTORATION HEALTH OF CONWAY ” Practice Location

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