Provider Demographics
NPI:1497416473
Name:CASEY, YULAY E (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:YULAY
Middle Name:E
Last Name:CASEY
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9897 PANTHER HOLLOW ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8723
Mailing Address - Country:US
Mailing Address - Phone:347-499-0779
Mailing Address - Fax:
Practice Address - Street 1:6539 LAS VEGAS BLVD S
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3222
Practice Address - Country:US
Practice Address - Phone:347-499-0779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11080225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist