Organization
THE NOURISHED SELF, LLC
Active
Other names
Restorative Recreation Therapy, Restorative Yoga Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA S EYERMAN CTRS (OWNER/PRESIDENT)
(734) 560-8564
Entity
Organization
Contact information
Practice address
496 W ANN ARBOR TRL STE 107, PLYMOUTH, MI 48170-6262
(734) 560-8564
Mailing address
10701 N TERRITORIAL RD, PLYMOUTH, MI 48170-5814
(734) 560-8564
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
225400000X
Rehabilitation Practitioner
—
—
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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