Individual
JACOB KAINE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4100
Mailing address
10487 RUNYAN LAKE PT, FENTON, MI 48430-2499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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