Provider Demographics
NPI:1205483641
Name:RESTORING LIFE LLC
Entity type:Organization
Organization Name:RESTORING LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LINNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-727-4757
Mailing Address - Street 1:671 3RD AVE STE E
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-3653
Mailing Address - Country:US
Mailing Address - Phone:812-631-8653
Mailing Address - Fax:
Practice Address - Street 1:671 3RD AVE STE E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3653
Practice Address - Country:US
Practice Address - Phone:812-631-8653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty