MEDICARE: INNER PEACE WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225700000X	Massage Therapist
2	225XM0800X	Mental Health Occupational Therapist
3	376K00000X	Nurse's Aide
4	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1952925075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER PEACE WELLNESS, LLC

Provider Business Mailing Address
First Line	:	7950 S LINCOLN ST STE 108
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80122-2713
Country	:	US
Telephone Number	:	303-963-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	8191 SOUTHPARK LN UNIT 209
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-4641
Country	:	US
Telephone Number	:	303-963-5900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ERIN WOELFEL
Credential	:
Telephone Number	:	303-905-6081

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	10/07/2022

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