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Individual

JOHNNYE J. YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
130 SPINNAKER RIDGE DR SW APT C112, HUNTSVILLE, AL 35824-1315
(318) 218-5634
Mailing address
130 SPINNAKER RIDGE DR SW APT C112, HUNTSVILLE, AL 35824-1315
(318) 218-5634

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5398
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5398
MASSAGE THERAPIST
AL
Enumeration date
02/07/2023
Last updated
02/08/2023
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