| Organization Name: | JUNIOR YOGI |
| NPI Number: | 1831305333 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA MARIE EVANS (YOGA THERAPIST) |
| Mailing Address: | 2269 Bridle Trl Metamora |
| State: | MI US |
| Postal Code: | 484559270 |
| Phone Number: | 5867640837 |
| Fax Number: | 8107248872 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |