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NPI Code Detail

MEDICARE: JOSHUA ALEXANDROS YANCEY LMT

MEDICARE:   JOSHUA ALEXANDROS YANCEY  LMT
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 TherapistNVMT11770NV

General Provider Information

NPI Number : 1619676640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA ALEXANDROS YANCEY LMT
Provider Business Mailing Address
First Line : 9525 HILLWOOD DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0596
Country : US
Telephone Number : 702-642-5446
Fax Number :
Provider Business Practice Location Address
First Line : 9525 HILLWOOD DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0596
Country : US
Telephone Number : 702-642-5446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2023
Last Update Date : 02/28/2023

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Directions to “ JOSHUA ALEXANDROS YANCEY LMT” Practice Location

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