MEDICARE: FLOAT DECATUR, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	171400000X	Health & Wellness Coach
3	173C00000X	Reflexologist
4	225700000X	Massage Therapist
5	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1730932948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOAT DECATUR, LLC

Provider Business Mailing Address
First Line	:	997 W SOUTH SIDE DR
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62521-4032
Country	:	US
Telephone Number	:	217-330-6963
Fax Number	:

Provider Business Practice Location Address
First Line	:	997 W SOUTH SIDE DR
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62521-4032
Country	:	US
Telephone Number	:	217-330-6963
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ALYSSA SWENGEL
Credential	:	LMT
Telephone Number	:	217-433-1959

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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