Individual
MR. LIAM DAE SUNG YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2365 PATRIOT HTS, COLORADO SPRINGS, CO 80904-5122
(719) 667-5668
Mailing address
2365 PATRIOT HTS, COLORADO SPRINGS, CO 80904-5122
(719) 667-5668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012757
CO
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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