# HOLISTIC PELVIC HEALTH & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558103481
- **Authorized official:** MRS. KATHRYN ANN PRIMM MS, OTR/L (CEO)
- **Authorized official phone:** (217) 414-3370

## Contact information

- **Practice address:** 23538 GRIST MILL LN, ATHENS, IL 62613-7322
- **Practice address phone:** (217) 414-3370
- **Mailing address:** 23538 GRIST MILL LN, ATHENS, IL 62613-7322
- **Mailing address phone:** (217) 414-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 06/11/2024