Healthcare Provider Details

I. General information

NPI: 1720913833
Provider Name (Legal Business Name): THE ROYAL TREATMENT WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKY BLUFF PT APT 305
COLORADO SPRINGS CO
80918-6261
US

IV. Provider business mailing address

6410 ROCKY BLUFF PT APT 305
COLORADO SPRINGS CO
80918-6261
US

V. Phone/Fax

Practice location:
  • Phone: 719-888-9086
  • Fax:
Mailing address:
  • Phone: 719-888-9086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: DEYONNA POLK-RYDER
Title or Position: DOULA
Credential:
Phone: 719-217-6448