MEDICARE: DR. CAMILLE LYNN WELLS OTR/L

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	0009220	CO

General Provider Information

NPI Number	:	1366392912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAMILLE LYNN WELLS OTR/L

Provider Business Mailing Address
First Line	:	712B WHALERS WAY
Second Line	:	SUITE B200
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	712B WHALERS WAY
Second Line	:	SUITE B200
City	:	FORT COLLINS
State	:	CO
Zip	:	80525
Country	:	US
Telephone Number	:	970-658-0688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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