| NPI | 1861173874 |
|---|---|
| Doing Business As | PRODIGY WELLNESS COLLECTIVE |
| Other Name | PRODIGY LIFE |
| Entity Type | Organization |
| Authorized Contact | JESSICA RENEE MCCARTY Owner, Yoga Therapist 210-860-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |