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NPI Code Detail

MEDICARE: LIFE YOGA LLC

MEDICARE: LIFE YOGA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1891380044
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE YOGA LLC
Provider Business Mailing Address
First Line : 20726 HALL RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-1537
Country : US
Telephone Number : 586-488-4938
Fax Number :
Provider Business Practice Location Address
First Line : 20217 HALL RD
Second Line :
City : MACOMB
State : MI
Zip : 48044-4205
Country : US
Telephone Number : 586-488-4938
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : MICHAEL NEGENDANK
Credential :
Telephone Number : 586-488-4938
Provider Enumeration Date : 03/09/2021
Last Update Date : 09/06/2022

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Directions to “LIFE YOGA LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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