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NPI Code Detail

MEDICARE: MISS YAVETTE MICHELLE RECZEK LPTA

MEDICARE: MISS YAVETTE MICHELLE RECZEK LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN9178636FL
2225200000XPhysical Therapy AssistantPTA 18328FL

General Provider Information

NPI Number : 1023132826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS YAVETTE MICHELLE RECZEK LPTA
Provider Business Mailing Address
First Line : 4582 MILES DR
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-9242
Country : US
Telephone Number : 386-756-0436
Fax Number :
Provider Business Practice Location Address
First Line : 170 N CENTER ST
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5186
Country : US
Telephone Number : 386-672-7113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 09/11/2025

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Directions to “ MISS YAVETTE MICHELLE RECZEK LPTA” Practice Location

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