Provider Demographics
NPI:1578986790
Name:RESTORATIVE THERAPEUTICS & BODYWORK, LLC
Entity Type:Organization
Organization Name:RESTORATIVE THERAPEUTICS & BODYWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RENSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:828-398-4439
Mailing Address - Street 1:PO BOX 1722
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-1722
Mailing Address - Country:US
Mailing Address - Phone:828-398-4439
Mailing Address - Fax:828-398-4439
Practice Address - Street 1:183 BARTLETT ST STE 110
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4306
Practice Address - Country:US
Practice Address - Phone:828-398-4439
Practice Address - Fax:828-398-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13415261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy