Provider Demographics
NPI:1871722934
Name:TANG, SHUN YEE
Entity type:Individual
Prefix:
First Name:SHUN
Middle Name:YEE
Last Name:TANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 HANCOCK ST STE 2F
Mailing Address - Street 2:THAI MASSAGE AND ACUPUNCTURE
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5217
Mailing Address - Country:US
Mailing Address - Phone:857-234-6791
Mailing Address - Fax:
Practice Address - Street 1:1431 HANCOCK ST STE 2F
Practice Address - Street 2:THAI MASSAGE AND ACUPUNCTURE
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5217
Practice Address - Country:US
Practice Address - Phone:857-234-6791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA901225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist