MEDICARE: PATRICIA MOO YOESTING PTA

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	225100000X	Physical Therapist	2145742	TX

General Provider Information

NPI Number	:	1194315994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA MOO YOESTING PTA

Provider Business Mailing Address
First Line	:	2288 GREEN MEADOWS LN
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-9002
Country	:	US
Telephone Number	:	214-440-8882
Fax Number	:

Provider Business Practice Location Address
First Line	:	2288 GREEN MEADOWS LN
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-9002
Country	:	US
Telephone Number	:	214-440-8882
Fax Number	:

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

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	01/25/2021

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Directions to “ PATRICIA MOO YOESTING PTA” Practice Location

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