MEDICARE: RESTORING MOBILITY,LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1407148281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORING MOBILITY,LLC

Provider Business Mailing Address
First Line	:	1965 POST ROAD, SUITE 308
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130
Country	:	US
Telephone Number	:	830-626-0051
Fax Number	:	830-625-0301

Provider Business Practice Location Address
First Line	:	1965 POST RD STE 308
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2569
Country	:	US
Telephone Number	:	830-626-0051
Fax Number	:	830-625-0301

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JIMMY J CROUCH
Credential	:
Telephone Number	:	830-626-0051

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/11/2011

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