Healthcare Provider Details

I. General information

NPI: 1073438750
Provider Name (Legal Business Name): YUYING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E BROADWAY ST
ALTUS OK
73521-5503
US

IV. Provider business mailing address

211 EAST BROADWAY
ATLAS OK
73521
US

V. Phone/Fax

Practice location:
  • Phone: 580-471-8000
  • Fax:
Mailing address:
  • Phone: 580-471-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number183778
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: