Provider Demographics
NPI:1770305039
Name:RESTORE INTEGRATIVE HEALTH PLLC
Entity type:Organization
Organization Name:RESTORE INTEGRATIVE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUTTINEE
Authorized Official - Middle Name:HANNAH
Authorized Official - Last Name:SANSAVATH
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-447-8486
Mailing Address - Street 1:1210 TACOMA AVE S APT 506
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-2023
Mailing Address - Country:US
Mailing Address - Phone:360-447-8486
Mailing Address - Fax:206-339-1628
Practice Address - Street 1:1944 PACIFIC AVE STE 301A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3121
Practice Address - Country:US
Practice Address - Phone:360-447-8486
Practice Address - Fax:206-339-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty