Provider Demographics
NPI:1336976208
Name:RESTORATIVE HEALTH & WELLNESS PLLC
Entity type:Organization
Organization Name:RESTORATIVE HEALTH & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-900-1650
Mailing Address - Street 1:2440 M ST NW STE 620
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1565
Mailing Address - Country:US
Mailing Address - Phone:202-900-1650
Mailing Address - Fax:703-506-3786
Practice Address - Street 1:2440 M ST NW STE 620
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1565
Practice Address - Country:US
Practice Address - Phone:202-900-1650
Practice Address - Fax:703-506-3786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center