Healthcare Provider Details

I. General information

NPI: 1477021061
Provider Name (Legal Business Name): ARDEN YEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 S SOUTHEASTERN AVE
SIOUX FALLS SD
57103-7184
US

IV. Provider business mailing address

3400 S SOUTHEASTERN AVE
SIOUX FALLS SD
57103-7184
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-5300
  • Fax:
Mailing address:
  • Phone: 605-322-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: