MEDICARE: YVETTE MICHELLE YANCEY

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	0019014620	VA

General Provider Information

NPI Number	:	1962365866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE MICHELLE YANCEY

Provider Business Mailing Address
First Line	:	2153 CAMPOSTELLA RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-3047
Country	:	US
Telephone Number	:	757-575-9732
Fax Number	:

Provider Business Practice Location Address
First Line	:	2153 CAMPOSTELLA RD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-3047
Country	:	US
Telephone Number	:	757-575-9732
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ YVETTE MICHELLE YANCEY ” Practice Location

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