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NPI Code Detail

MEDICARE: KATHERINE E YOUNG LMT

MEDICARE: KATHERINE E YOUNG LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist27029806NY

General Provider Information

NPI Number : 1265971428
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE E YOUNG LMT
Provider Business Mailing Address
First Line : 25 WALNUT PARK
Second Line :
City : ROCHESTER
State : NY
Zip : 14622-2717
Country : US
Telephone Number : 585-208-6780
Fax Number :
Provider Business Practice Location Address
First Line : 515 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3005
Country : US
Telephone Number : 585-208-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2017
Last Update Date : 02/20/2017

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Directions to “ KATHERINE E YOUNG LMT” Practice Location

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