MEDICARE: KATHERINE ANN YOUHN

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	MA28600	FL

General Provider Information

NPI Number	:	1679854392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANN YOUHN

Provider Business Mailing Address
First Line	:	7217 8TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-4650
Country	:	US
Telephone Number	:	727-479-2529
Fax Number	:

Provider Business Practice Location Address
First Line	:	3202 DR ML KING JR ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33704-1202
Country	:	US
Telephone Number	:	727-479-2529
Fax Number	:

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

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/08/2011

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Directions to “ KATHERINE ANN YOUHN ” Practice Location

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