Provider Demographics
NPI:1144797812
Name:SOUL TO SOUL YOGA, LLC
Entity Type:Organization
Organization Name:SOUL TO SOUL YOGA, LLC
Other - Org Name:ALL AGES THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:941-702-2035
Mailing Address - Street 1:3210 46TH DR E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-3953
Mailing Address - Country:US
Mailing Address - Phone:941-702-2035
Mailing Address - Fax:
Practice Address - Street 1:7365 MERCHANT CT STE 3
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8446
Practice Address - Country:US
Practice Address - Phone:941-702-2035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty