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NPI Code Detail

MEDICARE: YVETTE GOOT

MEDICARE:   YVETTE  GOOT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1912549619
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE GOOT
Provider Business Mailing Address
First Line : 697 RASKA WAY
Second Line :
City : COLVILLE
State : WA
Zip : 99114-5031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 151 BUENA VISTA DR
Second Line :
City : COLVILLE
State : WA
Zip : 99114-8676
Country : US
Telephone Number : 509-684-4539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2019
Last Update Date : 10/14/2019

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Directions to “ YVETTE GOOT ” Practice Location

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