Individual
LANETTE MARIE YEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
412 EL PASO BLVD, MANITOU SPRINGS, CO 80829-2310
(719) 434-7415
Mailing address
412 EL PASO BLVD, MANITOU SPRINGS, CO 80829-2310
(719) 434-7415
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9912
CO
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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