Individual
WANDA SUE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
345 LAWSON MILL RD, KINGSTON, TN 37763-4523
(865) 963-1775
Mailing address
345 LAWSON MILL RD, KINGSTON, TN 37763-4523
(865) 963-1775
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11711
TN
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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