MEDICARE: MR. CHRIS YEARY LPTA

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	225200000X	Physical Therapy Assistant	3297	NC

General Provider Information

NPI Number	:	1316249774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRIS YEARY LPTA

Provider Business Mailing Address
First Line	:	1024 CHAPEL CREEEK ROAD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025
Country	:	US
Telephone Number	:	704-305-2253
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 CHAPEL CREEK RD
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-8895
Country	:	US
Telephone Number	:	704-305-2253
Fax Number	:

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

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	11/17/2010

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