Individual
MISS YAVETTE MICHELLE RECZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
170 N CENTER ST, ORMOND BEACH, FL 32174-5186
(386) 672-7113
Mailing address
4582 MILES DR, PORT ORANGE, FL 32127-9242
(386) 756-0436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9178636
FL
225200000X
Physical Therapy Assistant
PTA 18328
FL
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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