Provider Demographics
NPI:1437503901
Name:BE WELL STUDIOS, LLC
Entity Type:Organization
Organization Name:BE WELL STUDIOS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-545-9699
Mailing Address - Street 1:3 MILL WHARF PLZ
Mailing Address - Street 2:UNIT N 11
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-1377
Mailing Address - Country:US
Mailing Address - Phone:781-545-9699
Mailing Address - Fax:
Practice Address - Street 1:3 MILL WHARF PLZ
Practice Address - Street 2:UNIT N 11
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-1377
Practice Address - Country:US
Practice Address - Phone:781-545-9699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA853172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty