Stacey Yearian in Jacksonville - Physical Therapy Assistant
Stacey Yearian - NPI 1790879161
Stacey Yearian is a Physical Therapy Assistant in Jacksonville, Florida. Stacey Yearian practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Stacey Yearian is 1790879161. The last update date is 2007-07-08.
Stacey Yearian's current location address is 7704 Fawn Lake Dr S, Jacksonville, Florida. You can contact this provider via phone number 9042889577. The mailing address for Stacey Yearian is 7704 Fawn Lake Dr S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Yearian |
|---|---|
| Address | 7704 Fawn Lake Dr S, Jacksonville, Florida |
| Phone Number | 9042889577 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1790879161 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7704 Fawn Lake Dr S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322563692 |
| Phone Number | 9042889577 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA20062 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stacey Yearian by the Centers for Medicare & Medicaid Services?
The Stacey Yearian has been issued the NPI (National Provider Identifier) 1790879161 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stacey Yearian?
The Stacey Yearian is physically situated at 7704 Fawn Lake Dr S, in the city of Jacksonville, state of FL, with the postal code 322563692.
What is the area of specialization for Stacey Yearian, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey Yearian is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.
On what date did the Stacey Yearian receive its 1790879161 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Yearian was assigned its 1790879161 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Stacey Yearian, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacey Yearian, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.