Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Restore Balance Integrative Wellness

Organization Family Nurse Practitioner · NPI 1205788304

Restore Balance Integrative Wellness is a Family Nurse Practitioner in Columbia, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2705 Bristol Lake Dr
Columbia, MO 65201-7512
Phone: (573) 823-9247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1205788304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Koga — Owner · (573) 823-9247
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address2705 Bristol Lake Dr, Columbia, MO 65201-7512

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