MEDICARE: YAGEL THERAPY 2.0 CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	261QR0400X	Rehabilitation Clinic/Center
3	261QM1300X	Multi-Specialty Clinic/Center
4	225X00000X	Occupational Therapist
5	224Z00000X	Occupational Therapy Assistant
6	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1174246367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAGEL THERAPY 2.0 CORPORATION

Provider Business Mailing Address
First Line	:	2204 JOE BATTLE BLVD BLDG C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-4660
Country	:	US
Telephone Number	:	915-224-2443
Fax Number	:	915-703-6382

Provider Business Practice Location Address
First Line	:	2204 JOE BATTLE BLVD BLDG C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-4660
Country	:	US
Telephone Number	:	915-224-2443
Fax Number	:	915-201-2880

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CONNIE FRANCO
Credential	:
Telephone Number	:	915-703-6380

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	01/15/2026

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Directions to “YAGEL THERAPY 2.0 CORPORATION ” Practice Location

Language	Start Address	Practice Location

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