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Individual

DARIN RUSSELL YANTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
7622 MCLAUGHLIN RD, FALCON, CO 80831-4710
(719) 495-3133
Mailing address
2553 E PIKES PEAK AVE, K104, COLORADO SPRINGS, CO 80909-6000
(661) 809-1794

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0012469
CO
225100000X
Physical Therapist
006205
KY
225100000X
Physical Therapist
2305207879
VA

Other

Enumeration date
03/13/2013
Last updated
01/10/2014
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