Organization · Type 2 NPI
Wild Prema Yoga
Health Service Clinic/Center · Berea, KY
NPI number
1598425902
Active
Practice location
148 Mini Mall Dr
Berea, KY 40403-1170
Mailing address
3300 Squire Oak Dr
Lexington, KY 40515-1330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1598425902
Wild Prema Yoga's National Provider Identifier is 1598425902, issued on Dec 27, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Berea, KY. The record was last updated on Dec 27, 2021.