MEDICARE: MISS AKIRA MARIE YODER

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	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care		OH

General Provider Information

NPI Number	:	1235002437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AKIRA MARIE YODER

Provider Business Mailing Address
First Line	:	5201 CEDAR CREEK RD
Second Line	:
City	:	URBANA
State	:	OH
Zip	:	43078-9434
Country	:	US
Telephone Number	:	614-596-2759
Fax Number	:

Provider Business Practice Location Address
First Line	:	3127 MEYER CT
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-6658
Country	:	US
Telephone Number	:	614-596-2759
Fax Number	:

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

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	09/25/2025

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