A Life Aware Yoga and Wellness

Organization Active NPI Naturopath · Detrot, MI

NPI 1104175207 · NPPES record last updated Sep 5, 2012

Key facts

NPI
1104175207
Entity type
Organization (NPI type 2)
Primary specialty
Naturopath 175F00000X
Legal business name
A LIFE AWARE YOGA AND WELLNESS
Practice address
18245 Cherrylawn
Detrot, MI 48221-2013
Phone
(404) 316-8329
NPI assigned
Sep 5, 2012
Organization subpart
No

Authorized official

Name
Ms. Dia Johnson, RYT
Title
Yoga Therapist
Phone
(404) 316-8329

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath
Group: 193200000X MULTI-SPECIALTY GROUP
175F00000X Yes

Addresses

Primary practice location

18245 Cherrylawn
Detrot, MI 48221-2013

Mailing address

18245 Cherrylawn
Detrot, MI 48221-2013
Phone (404) 316-8329

Other names

  • A Life Aware Other name

Sources for this page

Verify at the official NPI Registry.