# YOGA THERAPY BAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yoga Therapy Bar
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487320461
- **Authorized official:** DR. NEKITA J SULLIVAN DPT (OWNER)
- **Authorized official phone:** (864) 906-5045

## Contact information

- **Practice address:** 111 EARLE ST STE D, CLEMSON, SC 29631-1545
- **Practice address phone:** (864) 722-9035
- **Mailing address:** 111 EARLE ST STE D, CLEMSON, SC 29631-1545
- **Mailing address phone:** (864) 722-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/19/2021
