MEDICARE: YJC WELLNESS, LLC

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

General Provider Information

NPI Number	:	1457207045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YJC WELLNESS, LLC

Provider Business Mailing Address
First Line	:	5820 SULLIVANT AVE UNIT 238
Second Line	:
City	:	GALLOWAY
State	:	OH
Zip	:	43119-7512
Country	:	US
Telephone Number	:	614-715-4367
Fax Number	:

Provider Business Practice Location Address
First Line	:	5454 W BROAD ST STE 5
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1153
Country	:	US
Telephone Number	:	614-715-4367
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	YOLUNDRA ROCHELLE JACKSON-CHRISTIAN
Credential	:	LMT
Telephone Number	:	614-354-1185

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “YJC WELLNESS, LLC ” Practice Location

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