Individual
MRS. RENEE S YEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, EMTB, PES
Contact information
Practice address
2209 OLDE MEADOW CT, EAST PETERSBURG, PA 17520-1023
(717) 799-6561
Mailing address
2209 OLDE MEADOW CT, EAST PETERSBURG, PA 17520-1023
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
164776
PA
2255A2300X
Athletic Trainer
Primary
RT004306
PA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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