Individual provider · Type 1 NPI
Wanda Sue Young, LMT
Massage Therapist · Kingston, TN
NPI number
1942713060
Active
Practice location
345 Lawson Mill Rd
Kingston, TN 37763-4523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11711 (TN) |
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.
About NPI 1942713060
Wanda Sue Young, LMT's National Provider Identifier is 1942713060, issued on Nov 10, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kingston, TN. The record was last updated on Nov 10, 2017.