Active NPI
Wanyan Su
- Massage Therapist
- Shreveport, LA
National Provider Identifier
1659285559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LA8036
- Practice address
- 3511 Youree Dr
Shreveport, LA 71105 - Phone
- (318) 678-9123
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC20603 | CA | |
| Massage Therapist | 225700000X | LA8036 | LA | Primary |
Addresses
Primary practice location
3511 Youree Dr
Shreveport, LA 71105
Mailing address
3511 Youree Dr
Shreveport, LA 71105
Phone (318) 678-9123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1659285559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71105",
"telephone_number": "318-678-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71105",
"telephone_number": "318-678-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "WANYAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC20603",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "LA8036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.