Provider Demographics
NPI:1043275266
Name:RESTORATIVE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:RESTORATIVE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:615-890-2160
Mailing Address - Street 1:PO BOX 440104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0104
Mailing Address - Country:US
Mailing Address - Phone:615-217-9821
Mailing Address - Fax:615-217-9828
Practice Address - Street 1:1272 GARRISON DR
Practice Address - Street 2:STE. 307
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2570
Practice Address - Country:US
Practice Address - Phone:615-890-2160
Practice Address - Fax:615-890-2361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4001463OtherBCBS OF TN
TN1454472Medicaid
TN1454472Medicaid