Healthcare Provider Details

I. General information

NPI: 1205740719
Provider Name (Legal Business Name): PELVIC WELLNESS OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 S AMMONS ST
DENVER CO
80123-5449
US

IV. Provider business mailing address

4451 S AMMONS ST
DENVER CO
80123-5449
US

V. Phone/Fax

Practice location:
  • Phone: 720-272-5790
  • Fax:
Mailing address:
  • Phone: 720-272-5790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNY ELIZABETH NAYLOR
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L
Phone: 720-272-5790