MEDICARE: SOL PELVIC WELLNESS STUDIO INC

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

General Provider Information

NPI Number	:	1194558551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOL PELVIC WELLNESS STUDIO INC

Provider Business Mailing Address
First Line	:	129 E MAIN ST STE 3B
Second Line	:
City	:	WEBSTER
State	:	MA
Zip	:	01570-1738
Country	:	US
Telephone Number	:	774-402-4057
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 E MAIN ST STE 3B
Second Line	:
City	:	WEBSTER
State	:	MA
Zip	:	01570-1738
Country	:	US
Telephone Number	:	774-402-4057
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KELLYN SNOW-GENEST
Credential	:	PT, DPT
Telephone Number	:	774-641-3603

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	06/05/2026

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Directions to “SOL PELVIC WELLNESS STUDIO INC ” Practice Location

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