Mother Earth Yoga

NPI #1003213612 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1003213612
Entity Type: Organization
Organization Name: Mother Earth Yoga
Primary Specialty: Midwife, Lay
Enumeration Date: Nov 25, 2014
Last Updated: Nov 25, 2014

Practice Location

Address: 11257 42ND AVE
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-3842
Phone: (508) 789-7718

Authorized Official

Name: HOLLY ANN PECKSKAMP, DOULA
Title: BIRTH DOULA
Phone: (508) 789-7718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife, Lay	175M00000X	Primary

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