Healthcare Provider Details

I. General information

NPI: 1427980002
Provider Name (Legal Business Name): MAR WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 ROYAL DR APT 1103
MADISON AL
35758-1756
US

IV. Provider business mailing address

125 ROYAL DR APT 1103
MADISON AL
35758-1756
US

V. Phone/Fax

Practice location:
  • Phone: 470-860-5024
  • Fax:
Mailing address:
  • Phone: 470-860-5024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: YALITZALY RAMOS
Title or Position: MANAGING MEMBER
Credential: DC
Phone: 470-860-5024