Healthcare Provider Details

I. General information

NPI: 1558290304
Provider Name (Legal Business Name): DOCTOR FEEL GOOD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 SHELBY CT
MUSKOGEE OK
74403-1660
US

IV. Provider business mailing address

2503 SHELBY CT
MUSKOGEE OK
74403-1660
US

V. Phone/Fax

Practice location:
  • Phone: 918-351-9323
  • Fax: 918-351-9323
Mailing address:
  • Phone: 918-351-9323
  • Fax: 918-351-9323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JERRY DAVID WHATLEY
Title or Position: OWNER
Credential: WHATLEY
Phone: 918-351-9323