| Organization Name: | MOTHER EARTH YOGA |
| NPI Number: | 1003213612 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY ANN PECKSKAMP (BIRTH DOULA) |
| Mailing Address: | 11257 42nd Ave Pleasant Prairie |
| State: | WI US |
| Postal Code: | 531583842 |
| Phone Number: | 5087897718 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 175M00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Midwife, Lay |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |