Provider Demographics
NPI:1588271696
Name:YI, MEI H
Entity type:Individual
Prefix:
First Name:MEI
Middle Name:H
Last Name:YI
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 1:13343 NEERWINDER PL
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2879
Mailing Address - Country:US
Mailing Address - Phone:240-645-3571
Mailing Address - Fax:
Practice Address - Street 1:13343 NEERWINDER PL
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2879
Practice Address - Country:US
Practice Address - Phone:240-645-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT2566225700000X
VA0019017024225700000X
MDR02954225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist