RESTORE BALANCE INTEGRATIVE WELLNESS
NPI 1205788304
Nurse Practitioner - Family in Columbia, MO

Q: What is Restore Balance Integrative Wellness's NPI number?

The NPI number for Restore Balance Integrative Wellness is 1205788304. It was assigned to this organization in the NPPES registry on February 11, 2026.

Q: What is Restore Balance Integrative Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 11, 2026

2705 BRISTOL LAKE DR, COLUMBIA, MO 65201(573) 823-9247 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Restore Balance Integrative Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORE BALANCE INTEGRATIVE WELLNESS (NPI 1205788304) is a healthcare organization registered as a family in Columbia, Missouri and active in the NPI registry since February 2026. The organization lists Melissa R Koga, Owner, as its authorized official.

NPPES Registry Identity

NPI1205788304

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameRESTORE BALANCE INTEGRATIVE WELLNESS

Location Address2705 BRISTOL LAKE DRColumbia, MO 65201-7512

Mailing Address2705 Bristol Lake DrColumbia, MO 65201-7512 · (573) 823-9247

Phone(573) 823-9247

Organization SubpartNo

Authorized OfficialMelissa R KogaOwner · (573) 823-9247

Enumeration DateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1205788304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

2705 BRISTOL LAKE DR, Columbia, MO 65201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restore Balance Integrative Wellness's NPI number?

The NPI number for Restore Balance Integrative Wellness is 1205788304. It was assigned to this organization in the NPPES registry on February 11, 2026.

Where is Restore Balance Integrative Wellness located?

Restore Balance Integrative Wellness is located at 2705 Bristol Lake Dr, Columbia, MO 65201. The listed phone number is (573) 823-9247.

What is Restore Balance Integrative Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Restore Balance Integrative Wellness was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.