Healthcare Provider Details

I. General information

NPI: 1487258125
Provider Name (Legal Business Name): MISS YVETTE CHAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2993 S JEFFRY ST
GILBERT AZ
85295-0047
US

IV. Provider business mailing address

2993 S JEFFRY ST
GILBERT AZ
85295-0047
US

V. Phone/Fax

Practice location:
  • Phone: 480-781-6888
  • Fax:
Mailing address:
  • Phone: 480-781-6888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number012283
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License Number012283
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number012283
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number012283
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: