| Restore Wellness Llc | |
|
158 Aztec Ln Ste 104, Van Alstyne, TX 75495-3451 | |
| (903) 227-1527 | |
| Not Available |
| Full Name | Restore Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 158 Aztec Ln Ste 104, Van Alstyne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770228298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Shannon Taylor Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346543659 PECOS PAC ID: 6204012511 Enrollment ID: I20110523000465 |
| Provider Name | Lindsay Roberts Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700195880 PECOS PAC ID: 4385839760 Enrollment ID: I20221102001672 |
| Provider Name | Atif Syed Ahmed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922348424 PECOS PAC ID: 5092186981 Enrollment ID: I20230201002342 |
| Provider Name | Duong Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104301050 PECOS PAC ID: 6103299169 Enrollment ID: I20230222002782 |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Wellness Llc Po Box 191088, Dallas, TX 75219-8088 Ph: (469) 256-6661 | Restore Wellness Llc 158 Aztec Ln Ste 104, Van Alstyne, TX 75495-3451 Ph: (903) 227-1527 |