| 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 | Alexis Fidel Suarez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356972079 PECOS PAC ID: 1153758974 Enrollment ID: I20200217001519 |
| 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 | Duong Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104301050 PECOS PAC ID: 6103299169 Enrollment ID: I20230222002782 |
| Provider Name | Annie M York |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477217602 PECOS PAC ID: 1850733148 Enrollment ID: I20240531003478 |
| Provider Name | Sangeeta Patel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487482477 PECOS PAC ID: 8426595653 Enrollment ID: I20240805003463 |
| Provider Name | Michelle Marie Love |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912053273 PECOS PAC ID: 5193263283 Enrollment ID: I20240820004661 |
| Provider Name | Micole J Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508156118 PECOS PAC ID: 8426597428 Enrollment ID: I20240821005223 |
| 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 |