MEDICARE: FELIZ THERAPIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467959676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELIZ THERAPIES LLC

Provider Business Mailing Address
First Line	:	6900 SUERTE PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1965
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 SUERTE PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1965
Country	:	US
Telephone Number	:	575-799-8052
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DOMINICA BARABE
Credential	:	DPT
Telephone Number	:	575-799-8052

Provider Enumeration Date	:	04/13/2018
Last Update Date	:	04/13/2018

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Directions to “FELIZ THERAPIES LLC ” Practice Location

Language	Start Address	Practice Location

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