Restorative Outdoor Services LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

RESTORATIVE OUTDOOR SERVICES LLC

Practice address

6874 Wildwood TRL SW
South Boardman, MI 49680-9588

Phone

(231) 714-4450

NPI assigned

Aug 3, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric Richard Niemi, BS, CBIS

Title

Owner / Manager

Phone

(231) 714-4450

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003331752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6874 WILDWOOD TRL SW",
            "city": "SOUTH BOARDMAN",
            "state": "MI",
            "postal_code": "496809588",
            "telephone_number": "231-714-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6874 WILDWOOD TRL SW",
            "city": "SOUTH BOARDMAN",
            "state": "MI",
            "postal_code": "496809588",
            "telephone_number": "231-714-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE OUTDOOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIEMI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "231-714-4450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CBIS"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in South Boardman, MI
• Providers in South Boardman, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.