Provider Demographics
NPI:1407284557
Name:WELLNESS WORKS PA LLC
Entity Type:Organization
Organization Name:WELLNESS WORKS PA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:484-489-1700
Mailing Address - Street 1:4309 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-1823
Mailing Address - Country:US
Mailing Address - Phone:484-489-1700
Mailing Address - Fax:
Practice Address - Street 1:4309 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-1823
Practice Address - Country:US
Practice Address - Phone:484-489-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG001415225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty