| Restore & Rebalance LLC | |
|
5424 France Ave S Apt 210a Edina MN 55410-2367 | |
| (952) 797-3141 | |
| Not Available |
| Full Name | Restore & Rebalance LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5424 France Ave S Apt 210a, Edina, Minnesota |
| Authorized Official Name and Position | Sarah Petrich (OWNER) |
| Authorized Official Contact | 9527973141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore & Rebalance LLC 5424 France Ave S Apt 210a Edina MN 55410-2367 | Restore & Rebalance LLC 5424 France Ave S Apt 210a Edina MN 55410-2367 Ph: (952) 797-3141 |
| NPI Number | 1033807821 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033807821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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