Individual
TAYVA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 ELM ST, NORTH BERWICK, ME 03906-6725
(207) 200-7586
Mailing address
439 BAUNEG BEG HILL RD, NORTH BERWICK, ME 03906-5103
(978) 257-0249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6361
ME
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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