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NPI Code Detail

MEDICARE: NAOMI YOUNG LMT

MEDICARE: NAOMI YOUNG 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 Therapist33.025232OH

General Provider Information

NPI Number : 1962101394
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI YOUNG LMT
Provider Business Mailing Address
First Line : 6651 E SPARTA AVE SE
Second Line :
City : EAST SPARTA
State : OH
Zip : 44626-9307
Country : US
Telephone Number : 330-859-2913
Fax Number :
Provider Business Practice Location Address
First Line : 8949 STATE ROUTE 800 NE
Second Line :
City : MINERAL CITY
State : OH
Zip : 44656-9214
Country : US
Telephone Number : 330-859-2913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/24/2023

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Directions to “ NAOMI YOUNG LMT” Practice Location

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