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NPI Code Detail

MEDICARE: LINDA YENTES

MEDICARE: LINDA YENTES
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 Therapist22007155IN

General Provider Information

NPI Number : 1467167072
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA YENTES
Provider Business Mailing Address
First Line : 1025 MANCHESTER AVE STE 8B
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-330-5372
Fax Number :
Provider Business Practice Location Address
First Line : 1025 MANCHESTER AVE STE 8B
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-330-5372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2023
Last Update Date : 01/18/2023

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Directions to “ LINDA YENTES ” Practice Location

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