MEDICARE: BEWELLNESS LLC

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1851275630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEWELLNESS LLC

Provider Business Mailing Address
First Line	:	1310 TOWER LN NE STE A
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-7488
Country	:	US
Telephone Number	:	319-224-0225
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 TOWER LN NE STE A
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-7488
Country	:	US
Telephone Number	:	319-224-0225
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA PENCE-ANTCLIFF
Credential	:	LMT
Telephone Number	:	319-224-0225

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “BEWELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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