Provider Demographics
NPI:1073308813
Name:YANG, SHULING (CERTIFIED MASSAGE TH)
Entity type:Individual
Prefix:
First Name:SHULING
Middle Name:
Last Name:YANG
Suffix:
Gender:
Credentials:CERTIFIED MASSAGE TH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 JOHN TYLER HWY STE I
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2415
Mailing Address - Country:US
Mailing Address - Phone:757-985-0877
Mailing Address - Fax:
Practice Address - Street 1:4511 JOHN TYLER HWY STE I
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2415
Practice Address - Country:US
Practice Address - Phone:757-985-0877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019018809163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)