Healthcare Provider Details

I. General information

NPI: 1295690949
Provider Name (Legal Business Name): RESTORE CHIROPRACTIC BY SENA GRIFFITH DC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 LYNCH CREEK WAY STE 204
PETALUMA CA
94954-2389
US

IV. Provider business mailing address

8559 LARCH AVE
COTATI CA
94931-4470
US

V. Phone/Fax

Practice location:
  • Phone: 707-210-1506
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: SENA GRIFFITH
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 707-570-5994