Individual
BETTY CARMELLA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
209 E 4TH ST, LANSDALE, PA 19446-2605
(267) 606-7670
Mailing address
209 E 4TH ST, LANSDALE, PA 19446-2605
(267) 606-7670
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSG008026
—
PA
Enumeration date
10/28/2019
Last updated
10/28/2019
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