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General NPI Number Information
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NPI Number | 1285593202
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Entity Type | Organization
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Legal Business Name | TWISTED GRIT YOGA LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2824 PRAIRIE LAKES DR STE 202
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-8502
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Country | US
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Telephone | 608-318-1848
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Fax |
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Provider Business Mailing Address
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Address Line | 2824 PRAIRIE LAKES DR STE 202
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-8502
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Country | US
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Telephone | 608-318-1848
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | AMY ROSE PHILLIPS
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Credential | 200 RYT
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Telephone | 608-444-8017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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