Healthcare Provider Details

I. General information

NPI: 1396521647
Provider Name (Legal Business Name): TEND AND RELEASE PHYSICAL THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5681 BAY HARBOR TRL NW
ACWORTH GA
30101-7602
US

IV. Provider business mailing address

5681 BAY HARBOR TRL NW
ACWORTH GA
30101-7602
US

V. Phone/Fax

Practice location:
  • Phone: 205-224-2115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA SHEDLARSKI
Title or Position: OWNER
Credential: DPT
Phone: 205-224-2115