| Organization Name: | RIVERTOWN HEALTH AND WELLNESS, LLC |
| NPI Number: | 1669853560 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMI SHELNUTT (CO-OWNER) |
| Mailing Address: | 113 Rainbow Industrial Blvd Ste B Rainbow City |
| State: | AL US |
| Postal Code: | 359068901 |
| Phone Number: | 2564425554 |
| Fax Number: | 2564425354 |
| NPI Enumeration Date: | 06/16/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |