Individual
MITCHEL YEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 OAK LN, ORWIGSBURG, PA 17961-9126
(610) 780-8069
Mailing address
4 OAK LN, ORWIGSBURG, PA 17961-9126
(610) 780-8069
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2019
Last updated
02/22/2019
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