Restore, LLC
NPI #1760014567 in Starkville, Mississippi
Provider Information
- NPI Number
- 1760014567
- Entity Type
- Organization
- Organization Name
- Restore, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 10, 2020
- Last Updated
- Apr 26, 2020
Practice Location
- Address
- 101 S LAFAYETTE ST STE 12
- City
- Starkville
- State
- Mississippi
- ZIP Code
- 39759-2914
- Phone
- (662) 418-3108
Authorized Official
- Name
- MRS. SHANNON EASTMAN SKELTON, PT
- Title
- OWNER
- Phone
- (662) 418-3108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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