| NPI | 1346831898 |
|---|---|
| Former Legal Business Name | MINDFUL CHILD AERIAL YOGA |
| Entity Type | Organization |
| Authorized Contact | TRACY L DANIEL Owner 913-660-8219 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |