Provider Demographics
NPI:1992231328
Name:FEIL GOOD INDUSTRIES PLLC
Entity type:Organization
Organization Name:FEIL GOOD INDUSTRIES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:F
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FEIL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-523-6337
Mailing Address - Street 1:1201 MESA VERDE DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8194
Mailing Address - Country:US
Mailing Address - Phone:631-523-6337
Mailing Address - Fax:
Practice Address - Street 1:1201 MESA VERDE DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8194
Practice Address - Country:US
Practice Address - Phone:631-523-6337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1184211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty