Organization
YES THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COBY THRAILKILL PTA (OWNER)
(166) 098-8490
Entity
Organization
Contact information
Practice address
104 E COOPER ST, GREEN RIDGE, MO 65332-1025
(660) 988-4902
Mailing address
104 E COOPER ST, GREEN RIDGE, MO 65332-1025
(660) 988-4902
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/20/2022
Last updated
04/19/2023
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