Shukyeon Lee
Massage Therapist
9773 Sierra Ave # H7
Fontana
, California 92335-6716
Shukyeon Lee
Massage Therapist
9773 Sierra Ave # H7
Fontana
, California 92335-6716
(909) 829-2349
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Shukyeon Lee
- 9773 Sierra Ave # H7
- Fontana, CA
- Zip : 92335-6716
- Phone : (909) 829-2349
Second Address
- Shukyeon Lee
- 9773 Sierra Ave # H7
- Fontana, CA
- Zip : 92335-6716
- Phone : (909) 829-2349
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FAQs
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Is Shukyeon Lee a sole practitioner?
Is Shukyeon Lee accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 82855 | CA |
National Provider Identifier
| NPI | 1003580531 |
|---|---|
| Provider Name | Shukyeon Lee |
| First Address | Fontana, CA 92335-6716 |
| Second Address | Fontana, CA 92335-6716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 82855 | THERAPEUTIC MASSAGE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.