Provider Demographics
NPI:1952130718
Name:BE WELL THERAPEUTICS STUDIO
Entity type:Organization
Organization Name:BE WELL THERAPEUTICS STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WENSHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PREVAL
Authorized Official - Suffix:
Authorized Official - Credentials:OT LM
Authorized Official - Phone:203-252-9859
Mailing Address - Street 1:2094 BOSTON POST RD,
Mailing Address - Street 2:1ST FL
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-3745
Mailing Address - Country:US
Mailing Address - Phone:203-252-9859
Mailing Address - Fax:
Practice Address - Street 1:2094 BOSTON POST RD,
Practice Address - Street 2:1ST FL
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-3745
Practice Address - Country:US
Practice Address - Phone:203-252-9859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty