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

Restore Vitality Center

Organization Nutrition Education Nutritionist · NPI 1447767181

Restore Vitality Center is a Nutrition Education Nutritionist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
Specialties on file
6

Practice location Address checks out

8133 W Heatherbrae Dr
Phoenix, AZ 85033-2336
Phone: (602) 814-2559
Show map & directions

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

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X (AZ)
Nutrition Education Nutritionist Taxonomy 133NN1002X (AZ)
Electrodiagnostic Medicine Physician Taxonomy 204R00000X (AZ)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X (AZ)
Gastroenterology Physician Taxonomy 207RG0100X (AZ)
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081N0008X (AZ)

Record details

NPI number1447767181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nelson — Owner/Member · (602) 814-2559
Other names Restore Vitality Center
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJanuary 3, 2018
Mailing address8133 W Heatherbrae Dr, Phoenix, AZ 85033-2336

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