MEDICARE: MR. JONATHAN D. YUHASZ L.M.T., M.M.P.

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
1	225700000X	Massage Therapist	7417	SC

General Provider Information

NPI Number	:	1033418124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN D. YUHASZ L.M.T., M.M.P.

Provider Business Mailing Address
First Line	:	2724 WADE HAMPTON BLVD STE D
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1110
Country	:	US
Telephone Number	:	864-238-1159
Fax Number	:

Provider Business Practice Location Address
First Line	:	2724 WADE HAMPTON BLVD
Second Line	:	STE D
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1110
Country	:	US
Telephone Number	:	864-238-1159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2011
Last Update Date	:	03/15/2011

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