Healthcare Provider Details

I. General information

NPI: 1639981806
Provider Name (Legal Business Name): KATHRYN MARIE YOCCA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE MARIE YOCCA

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WONSETTLER RD
SCENERY HILL PA
15360-1863
US

IV. Provider business mailing address

100 WONSETTLER RD
SCENERY HILL PA
15360-1863
US

V. Phone/Fax

Practice location:
  • Phone: 724-200-7377
  • Fax: 724-200-7343
Mailing address:
  • Phone: 724-200-7377
  • Fax: 724-200-7343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC012087
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: