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Restoration Wellness, LLC

Primary Care Clinic/Center in Wasilla, AK · enumerated 2016 · authorized official Lydia Petersen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962953810

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Registry record

Entity type Organization (Type 2)
Legal business name Restoration Wellness, LLC
Practice address 5805 E Columbus Way, Wasilla, AK, 99654
Phone (907) 376-7300
Enumeration date Oct 16, 2016
Last updated in NPPES Dec 30, 2016

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 1042971 (AK) Primary

Authorized official

Name Lydia Petersen
Title Owner
Phone (907) 376-7300

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Restoration Wellness, LLC?
The NPI for Restoration Wellness, LLC is 1962953810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Restoration Wellness, LLC?
NPPES lists Lydia Petersen (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-30.