Healthcare Provider Details

I. General information

NPI: 1457400905
Provider Name (Legal Business Name): CHRISTY MARIE YEAGER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 GARNER FIELD RD
UVALDE TX
78801-4809
US

IV. Provider business mailing address

414 N HIGH ST
UVALDE TX
78801-4634
US

V. Phone/Fax

Practice location:
  • Phone: 830-278-6251
  • Fax: 830-591-0690
Mailing address:
  • Phone: 830-261-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1060713
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: