OrganizationActive
Full Life Regeneration, PC
NPI 1609464395 · Multi-Specialty Clinic/Center · Florence, AL
Provider details
- NPI number
- 1609464395
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyler Melson, Owner(256) 765-0002
Specialties & taxonomies
Ambulatory Health Care Facilities
- Chiropractor111N00000X
Chiropractic Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
117 Renaissance St
Florence, AL 35630-1207
Phone: (256) 765-0002
Fax: (256) 765-0022
Approximate (ZIP-level) locationGet directions
Mailing address
117 Renaissance St
Florence, AL 35630-1207
Registry dates
- Enumerated
- 2021-01-07
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.