Individual
THEODORE P YEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
8790 WATSON RD, STE 102, SAINT LOUIS, MO 63119-5140
(314) 270-8671
(314) 270-8673
Mailing address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-6082
(573) 449-0401
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2000154595
MO
Other
Enumeration date
09/28/2006
Last updated
11/17/2015
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