Healthcare Provider Details

I. General information

NPI: 1639723901
Provider Name (Legal Business Name): FEEL GOOD AGAIN HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HWY 285 HOUSE #34869
OJO CALIENTE NM
87549-9701
US

IV. Provider business mailing address

PO BOX 31492
SANTA FE NM
87594-1492
US

V. Phone/Fax

Practice location:
  • Phone: 505-583-2908
  • Fax: 505-583-2908
Mailing address:
  • Phone: 505-583-2908
  • Fax: 505-583-2908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: CATERINA DI PALMA
Title or Position: SOLE MEMBER/MANAGER/PRACTITIONER
Credential: DOM
Phone: 505-583-2908