Individual
MRS. MICHELLE ANNETTE YACKOVICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
RR 4 BOX 2222, MT PLEASANT, PA 15666-9041
(724) 547-4100
(724) 547-0526
Mailing address
1026 DEPOT ST, YOUNGWOOD, PA 15697-1360
(724) 925-1944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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