Individual
MRS. COLLEEN H YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027147
NYS MASSAGE THERAPY
NY
Enumeration date
11/14/2014
Last updated
07/21/2022
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