1295583946 NPI number — RESTORATIVE HEALTH AND WELLNESS, PLLC

Table of content: CINTHYA FLORES SIGALA CHW (NPI 1649097932)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295583946 NPI number — RESTORATIVE HEALTH AND WELLNESS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESTORATIVE HEALTH AND WELLNESS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295583946
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 341453
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38184-1453
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 112TH AVE SE STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-6901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-905-1834
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2024

Additional Information

Authorized Official

Authorized Official Last Name:
LAYTON
Authorized Official First Name:
TIA
Authorized Official Middle Name:
Authorized Official Title or Position:
NP/PROVIDER
Authorized Official Telephone Number:
425-905-1834

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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