Jean Dyer Yost, CMT
Individual provider Active NPI Massage Therapist · Fort Bragg, CA
NPI 1649909755 · NPPES record last updated Jun 6, 2022
Key facts
- NPI
- 1649909755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 77352 (CA)
- Practice address
- 126 N Corry St
Fort Bragg, CA 95437-3712 - Phone
- (831) 234-9629
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77352 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 77352 | CA | Yes |
Addresses
Primary practice location
126 N Corry St
Fort Bragg, CA 95437-3712
Mailing address
126 N Corry St
Fort Bragg, CA 95437-3712
Phone (831) 234-9629
Other providers in Fort Bragg, CA
- Adrian Diaz
- Donald Sheffel, M.D.
- Kate Teresa Donohue
- Josie Drake
- Julie Drucker
- Julia Eagles
- Heather Eccarius
- Peter James Economen
- Lisa Edens-Tan
- Jessica Ehlers
All providers in Fort Bragg, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.