Healthcare Provider Details
I. General information
NPI: 1902732720
Provider Name (Legal Business Name): OUR WHOLE LIVING WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6 HEARTHSTONE CT STE 303
READING PA
19606-3053
US
IV. Provider business mailing address
6 HEARTHSTONE CT STE 303
READING PA
19606-3053
US
V. Phone/Fax
- Phone: 484-556-8787
- Fax:
- Phone: 484-556-8787
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARI
EYER
Title or Position: MANAGING MEMBER
Credential: LPC
Phone: 484-556-8787