Organization
WILD PREMA YOGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN KARUTZ (OWNER)
(859) 267-3287
Entity
Organization
Contact information
Practice address
148 MINI MALL DR, BEREA, KY 40403-1170
(859) 267-3287
Mailing address
3300 SQUIRE OAK DR, LEXINGTON, KY 40515-1330
(859) 267-3287
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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