MEDICARE: YUPING YUAN

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	MA100286	FL

General Provider Information

NPI Number	:	1851273262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUPING YUAN

Provider Business Mailing Address
First Line	:	11622 SW RIVER CROSSING PL
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-7766
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 SW SAINT LUCIE WEST BLVD STE 110
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-1735
Country	:	US
Telephone Number	:	772-284-7100
Fax Number	:

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

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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Directions to “ YUPING YUAN ” Practice Location

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