Mary Yang, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2024368 Issued in MN

Practice address

2353 Rice St Ste 130
Roseville, MN 55113-3770

Phone

(586) 298-7231

NPI assigned

May 10, 2024

Sex

Female

Sole proprietor

Yes

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": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1174371470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 130",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133770",
            "telephone_number": "586-298-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 130",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133770",
            "telephone_number": "586-298-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MARY",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "2024368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Shiao Xiao, MD
• Karson Neejzoo Xiong
• Faith Ying Xiongblaxang, MASSAGE THERAPIST
• Sandy Youa Yang-James, LMFT
• Gaosayuri Suda Yang, PHARMD
• Palmer Lor Xieng Yang, D.C.
• Sao Yang
• Victor Yang, DPT
• Wee Pone Yang
• Maryam Yaseen

• Massage Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.