Healthcare Provider Details

I. General information

NPI: 1679243323
Provider Name (Legal Business Name): SWELL N' GOOD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 E MAIN RD
MIDDLETOWN RI
02842-4912
US

IV. Provider business mailing address

94 E MAIN RD UNIT A
MIDDLETOWN RI
02842-4912
US

V. Phone/Fax

Practice location:
  • Phone: 401-847-8889
  • Fax: 401-847-8920
Mailing address:
  • Phone: 401-847-8889
  • Fax: 401-847-8920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KELSEY HESTON
Title or Position: OWNER
Credential: DC, CCSP
Phone: 401-847-8889