MEDICARE: DR. CARLY YUSKO PT, DPT

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	PT019874	OH

General Provider Information

NPI Number	:	1245960475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLY YUSKO PT, DPT

Provider Business Mailing Address
First Line	:	15960 W 130TH ST
Second Line	:
City	:	STRONGSVILLE
State	:	OH
Zip	:	44136-4651
Country	:	US
Telephone Number	:	440-785-6263
Fax Number	:

Provider Business Practice Location Address
First Line	:	6990 ENGLE RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3420
Country	:	US
Telephone Number	:	440-202-4200
Fax Number	:

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

Provider Enumeration Date	:	06/11/2022
Last Update Date	:	06/11/2022

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