Individual provider · Type 1 NPI
Cathy Yvonne Wynn, MT019073
Massage Therapist · Longview, TX
NPI number
1235373416
Active
Practice location
1109 Evergreen St
Longview, TX 75604-2130
Mailing address
100 Owens Rd Lot 506
White Oak, TX 75693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT019073 (TX) |
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.
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About NPI 1235373416
Cathy Yvonne Wynn, MT019073's National Provider Identifier is 1235373416, issued on May 1, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, TX. The record was last updated on May 1, 2009.