MEDICARE: YVONNE GEE MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251G0304X	Geriatric Physical Therapist	PT22011	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT22011	OTHER	CA	CA PT LICENSE

General Provider Information

NPI Number	:	1053433565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE GEE MPT

Provider Business Mailing Address
First Line	:	3007 SE 313TH AVE
Second Line	:
City	:	WASHOUGAL
State	:	WA
Zip	:	98671-9230
Country	:	US
Telephone Number	:	510-209-3613
Fax Number	:

Provider Business Practice Location Address
First Line	:	3007 SE 313TH AVE
Second Line	:
City	:	WASHOUGAL
State	:	WA
Zip	:	98671-9230
Country	:	US
Telephone Number	:	510-209-3613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	03/03/2026

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