Wellness Restoration Company LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WELLNESS RESTORATION COMPANY LTD

Practice address

2515 Silver Spur St
Loveland, CO 80537-8704

Phone

(321) 989-2187

Fax

(833) 410-3619

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By 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

Jay Bouldin, MD

Title

Administration

Phone

(321) 989-2187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1063113272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 SILVER SPUR ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378704",
            "fax_number": "833-410-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 SILVER SPUR ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378704",
            "telephone_number": "321-989-2187",
            "fax_number": "833-410-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RESTORATION COMPANY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BOULDIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "321-989-2187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen A Weissmann, MD
• Jennifer Lynn Weitenberner, M.D.
• Connor Welle
• Casey Marie Weller
• Wellistra Healthcare LLC
• Wells Healthcare Foundation Agency LLC
• Marietta Wells, RPH
• Douglas Wenger, LICSW
• Shannah Wenzel
• Teresa A Wergin

• General Practice Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.