Healthcare Provider Details

I. General information

NPI: 1508980038
Provider Name (Legal Business Name): CURTIS WILLIAM YEE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9456 CORNERKICK PL
ELK GROVE CA
95758-3633
US

IV. Provider business mailing address

9456 CORNERKICK PL
ELK GROVE CA
95758-3633
US

V. Phone/Fax

Practice location:
  • Phone: 916-862-1493
  • Fax:
Mailing address:
  • Phone: 916-862-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT15934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: