Healthcare Provider Details

I. General information

NPI: 1710803093
Provider Name (Legal Business Name): INNER PEACE YOGA THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 E 3RD AVE UNIT 20A
DURANGO CO
81301-5293
US

IV. Provider business mailing address

1309 E 3RD AVE UNIT 20A
DURANGO CO
81301-5293
US

V. Phone/Fax

Practice location:
  • Phone: 970-946-8961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELE LAWRENCE
Title or Position: DIRECTOR
Credential: C-IAYT
Phone: 970-946-8961