Healthcare Provider Details

I. General information

NPI: 1144797812
Provider Name (Legal Business Name): SOUL TO SOUL YOGA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 WHEATFIELD RD
FLETCHER NC
28732-0829
US

IV. Provider business mailing address

224 WHEATFIELD RD
FLETCHER NC
28732-0829
US

V. Phone/Fax

Practice location:
  • Phone: 941-702-2035
  • Fax:
Mailing address:
  • Phone: 941-702-2035
  • Fax: 949-695-3128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHERYL ALBRIGHT
Title or Position: OWNER/THERAPIST
Credential: OTR/L
Phone: 941-702-2035