MEDICARE: WOMEN'S PELVIC HEALTH AND WELLNESS, 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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1306700315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S PELVIC HEALTH AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	3470 S SHERMAN ST
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2680
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3470 S SHERMAN ST
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2680
Country	:	US
Telephone Number	:	563-581-5868
Fax Number	:

Authorized Official
Title or Position	:	OTD
Name	:	KAYSHE MILES
Credential	:
Telephone Number	:	563-581-4868

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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