Provider Demographics
NPI:1942920400
Name:INTUITIVE WOMEN'S HEALTH, PLLC
Entity Type:Organization
Organization Name:INTUITIVE WOMEN'S HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MAKENZIE
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:VANWINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:OTDR/L
Authorized Official - Phone:928-243-2628
Mailing Address - Street 1:1160 S HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SNOWFLAKE
Mailing Address - State:AZ
Mailing Address - Zip Code:85937-5561
Mailing Address - Country:US
Mailing Address - Phone:928-243-2628
Mailing Address - Fax:
Practice Address - Street 1:4830 AZ - 260
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKESIDE
Practice Address - State:AZ
Practice Address - Zip Code:85929
Practice Address - Country:US
Practice Address - Phone:928-243-2628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty