Individual
JASON P YUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3221 FREDERICA ST, SUITE B, OWENSBORO, KY 42301-6086
(270) 926-2212
(270) 926-2215
Mailing address
3221 FREDERICA ST, SUITE B, OWENSBORO, KY 42301-6086
(270) 926-2212
(270) 926-2215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190431
ANTHEM
KY
05
—
87001756
—
KY
01
—
K005560
TRICARE
KY
01
—
P00204194
RR MEDICARE
KY
Enumeration date
08/03/2005
Last updated
10/01/2012
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