Healthcare Provider Details

I. General information

NPI: 1629758362
Provider Name (Legal Business Name): FEELING GOOD2GO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 BIVENS CHAPEL RD
BIRMINGHAM AL
35214-1003
US

IV. Provider business mailing address

1005 BIVENS CHAPEL RD
BIRMINGHAM AL
35214-1003
US

V. Phone/Fax

Practice location:
  • Phone: 205-243-7802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANISA JOE
Title or Position: CEO
Credential: PDT
Phone: 205-243-7802