Healthcare Provider Details

I. General information

NPI: 1801790217
Provider Name (Legal Business Name): NATURALLY WELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18354 COASTAL HWY
LEWES DE
19958-4772
US

IV. Provider business mailing address

18027 SEAVIEW LN
LEWES DE
19958-2061
US

V. Phone/Fax

Practice location:
  • Phone: 302-866-9355
  • Fax:
Mailing address:
  • Phone: 610-781-7059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: STACEY ROW
Title or Position: OWNER
Credential: COTA/L
Phone: 610-781-7059