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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 11711 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033638333 | Wanda Renee Young | Nurse Practitioner | 3295 Fm 3514, Beaumont, TX 77705-7655 | 2017-09-18 |
Street Address |
345 LAWSON MILL RD |
City | KINGSTON |
State | TN |
Zip Code | 37763-4523 |
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 Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
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 |
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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.