WANDA SUE YOUNG


Address: 345 Lawson Mill Rd, Kingston, TN 37763-4523
Phone: 8659631775

WANDA SUE YOUNG (NPI# 1942713060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942713060
Entity Type Individual
Full Name WANDA SUE YOUNG
Credential LMT
Practice Address 345 Lawson Mill Rd
Kingston
TN 37763-4523
Practice Telephone 8659631775
Mailing Telephone 8659631775
Enumeration Date 2017-11-10
Last Update Date 2017-11-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 11711 TN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers WANDA YOUNG

NPI Name Taxonomy Address Enumeration
1033638333 Wanda Renee Young Nurse Practitioner 3295 Fm 3514, Beaumont, TX 77705-7655 2017-09-18

Office Location

Street Address 345 LAWSON MILL RD
City KINGSTON
State TN
Zip Code 37763-4523

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124445937 Jessica Shea Kirkland Physical Therapist 629 Gallher Rd, Kingston, TN 37763 2014-03-19
1639328529 Kenneth P Fus Pharmacist 106 W. Race Street, Kingston, TN 37763 2008-09-16
1558580266 Total Mobility Inc Durable Medical Equipment & Medical Supplies 2644 Decatur Hwy, Kingston, TN 37763 2007-04-24
1699824789 James David Walmsley Jr. Dentist 1011 Waterford Pl, Kingston, TN 37763 2007-01-09
1689618886 William Joseph Roberts General Practice 1445 Kingston Way, Kingston, TN 37763 2006-06-16
1851356851 Larry D Ladd Physical Therapist 100 E Race St, A, Kingston, TN 37763 2006-04-20
1497725964 Elizabeth Turner Social Worker 1002 Bradford Way, Kingston, TN 37763 2006-01-25
1073064309 Elizabeth Jennings Ivey Counselor 508 N Kentucky St Ste 4, Kingston, TN 37763 2016-10-21
1982966966 Megan H Chapman Physician Assistant 933 W Race St, Kingston, TN 37763 2012-06-14
1568609220 Michelle Carr Occupational Therapist 187 Gallaher Rd, Kingston, TN 37763 2009-01-15
Find all providers in zip 37763

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831725688 Sierra Joye Lari Massage Therapist 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 2020-03-12
1982234324 Melanie Tennessee Molineau Massage Therapist 502 Albany Ave, Kingston, NY 12401-2141 2020-01-24
1487140646 Sara Foster Massage Therapist 6132 Ne Carlin Ct, Kingston, WA 98346-9408 2018-07-10
1518322692 Jamie Maloney Massage Therapist 26291 Pennsylvania Ave Ne, Apt 305, Kingston, WA 98346-7681 2015-12-16
1629478318 Gregg Thomas Dart Massage Therapist 86 John St, Kingston, NY 12401 2014-08-29
1720409063 Carolye Gurvitch Massage Therapist 136 Ashokan Rd, Kingston, NY 12401-7800 2014-01-03
1558704007 Kari E Hoyt Massage Therapist 676 Aaron Ct, Kingston, NY 12401-2968 2013-04-15
1841530342 Lea Ani Kaiser Massage Therapist 73 Crown St, Kingston, NY 12401-3833 2013-02-20
1679812507 Sherrie Lee Petrowski-mcdade Massage Therapist 505 Northampton St, Second Floor, Kingston, PA 18704-4500 2013-02-13
1104161900 Marcus Dean Atkinson Massage Therapist 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 2012-12-05
Find all providers in KINGSTON

Competitor

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City KINGSTON
Zip Code 37763

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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