MEDICARE: YUSHU WANG

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	MT141299	TX

General Provider Information

NPI Number	:	1154119881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUSHU WANG

Provider Business Mailing Address
First Line	:	2983 BAINBRIDGE LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-0776
Country	:	US
Telephone Number	:	346-240-0984
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 STONEBROOK PKWY STE 805
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75036-1179
Country	:	US
Telephone Number	:	346-240-0984
Fax Number	:

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

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “ YUSHU WANG ” Practice Location

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