Jacquelyn Sue Young, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.019074 Issued in OH

Practice address

242 E Milltown Rd
Wooster, OH 44691-1246

Phone

(330) 345-4440

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1104136498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 FAIRVIEW AVE",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811764",
            "telephone_number": "330-334-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JACQUELYN",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.019074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Yoder, FNP-C
• Mark A Yoder, MA ED, LPCC
• Thomas York
• Frank E Yost, LPCC, MA
• Anita Louise Young, MS, RDN, LD
• Jade Young
• NA'Tasia Young
• Renee Ann Young, LSW
• Shimeka R Young
• Brandi Cody Yund, PMHNP-BC

• Massage Therapist in Wooster, OH
• Providers in Wooster, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.