Provider Demographics
NPI:1811522295
Name:RESTORE PELVIC HEALTH AND WELLNESS
Entity type:Organization
Organization Name:RESTORE PELVIC HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:864-365-6780
Mailing Address - Street 1:1003 GROVE RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4626
Mailing Address - Country:US
Mailing Address - Phone:864-365-6051
Mailing Address - Fax:864-752-0976
Practice Address - Street 1:1003 GROVE RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4626
Practice Address - Country:US
Practice Address - Phone:864-365-6051
Practice Address - Fax:864-752-0976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy