MEDICARE: DR. CHAD YANO 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	012880	OH

General Provider Information

NPI Number	:	1336409523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD YANO DPT

Provider Business Mailing Address
First Line	:	706 FALLSIDE LN
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-5003
Country	:	US
Telephone Number	:	614-325-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 MOUNT AIRYSHIRE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1364
Country	:	US
Telephone Number	:	614-888-7288
Fax Number	:

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

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	05/21/2012

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