Provider Demographics
NPI:1083849962
Name:RESTORATIVE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:RESTORATIVE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-890-2160
Mailing Address - Street 1:1272 GARRISON DR STE 307
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3177
Mailing Address - Country:US
Mailing Address - Phone:615-217-9821
Mailing Address - Fax:615-217-9828
Practice Address - Street 1:103 N WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2369
Practice Address - Country:US
Practice Address - Phone:931-548-1930
Practice Address - Fax:931-548-1953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1517182Medicaid