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General NPI Number Information
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NPI Number | 1265852990
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Entity Type | Organization
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Legal Business Name | RESTOREME. INC.
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 6950 E BELLEVIEW AVE SUITE 102
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1618
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Country | US
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Telephone | 720-266-6029
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Fax | 888-846-3199
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Provider Business Mailing Address
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Address Line | 6950 E BELLEVIEW AVE SUITE 102
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1618
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Country | US
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Telephone | 720-266-6029
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Fax | 888-846-3199
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KATJA AUSTIN
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Credential | NP
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Telephone | 720-726-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 990129
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License Number State | CO
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