Provider Demographics
NPI:1033418124
Name:YUHASZ, JONATHAN D (LMT, MMP)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:D
Last Name:YUHASZ
Suffix:
Gender:M
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 WADE HAMPTON BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-1110
Mailing Address - Country:US
Mailing Address - Phone:864-238-1159
Mailing Address - Fax:
Practice Address - Street 1:2724 WADE HAMPTON BLVD
Practice Address - Street 2:STE D
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-1110
Practice Address - Country:US
Practice Address - Phone:864-238-1159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7417225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist