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RESTORATION WELLNESS, LLC
NPI 1962953810
Clinic/Center - Primary Care in Wasilla, AK

Active since October 16, 2016
5805 E COLUMBUS WAY, WASILLA, AK 99654(907) 376-7300 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2016, Oct 16, 2016 (2 updates tracked since 2016).

About Restoration Wellness, Llc NPPES

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

RESTORATION WELLNESS, LLC (NPI 1962953810) is a healthcare organization registered as a primary care in Wasilla, Alaska and active in the NPI registry since October 2016. The organization lists Lydia M Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1962953810
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRESTORATION WELLNESS, LLC
Location Address5805 E COLUMBUS WAYWasilla, AK 99654-7831
Mailing AddressPo Box 876089Wasilla, AK 99687-6089 · (907) 376-7300 · Fax (888) 977-2041
Phone(907) 376-7300
Organization SubpartNo
Authorized OfficialLydia M PetersenOwner · (907) 376-7300
Enumeration DateOctober 16, 2016
Last NPPES UpdateDecember 30, 20162 updates tracked since enumeration
✔ NPI 1962953810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AK · 1042971
5805 E COLUMBUS WAY, Wasilla, AK 99654
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREATLAND WOMEN'S HEALTCARE, LLC
Registered Nurse (Women's Health Care, Ambulatory)
5805 E COLUMBUS WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-5400
AMBER RENAE SHEA RN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5805 E COLUMBUS WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-7300
GENEVA WOODS MIDWIFERY
Advanced Practice Midwife
5805 E COLUMBUS WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 561-2626
ADVANCED WELLNESS INFUSION CENTER, LLC
Clinic/Center (Infusion Therapy)
5805 E COLUMBUS WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 929-4825
WINDSONG MIDWIFERY, LLC
Midwife
5805 E COLUMBUS WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-2672

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 Restoration Wellness, LLC's NPI number?

The NPI number for Restoration Wellness, LLC is 1962953810. It was assigned to this organization in the NPPES registry on October 16, 2016.

Where is Restoration Wellness, LLC located?

Restoration Wellness, LLC is located at 5805 E Columbus Way, Wasilla, AK 99654. The listed phone number is (907) 376-7300.

What is Restoration Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Restoration Wellness, LLC was last updated on December 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.