Individual
YVETTE GINELL SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT, CLC
Contact information
Practice address
3543 W BRADDOCK RD STE 200, ALEXANDRIA, VA 22302-1900
(703) 578-1900
Mailing address
YVETTE SPEARS, 6904 ROBINIA RD, CAMP SPRINGS, MD 20748
(202) 210-5277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019001314
VA
225A00000X
Music Therapist
—
—
247000000X
Health Information Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019001314
VA BOARD OF NURSING
VA
01
—
009583436I
INT'L COACH FEDERATION - WELLNESS COACH
DC
01
—
79243
AMERICAN MASSAGE THERAPIST ASSOCIATION
MD
Enumeration date
11/20/2020
Last updated
11/20/2020
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