Provider Demographics
NPI:1073801486
Name:YOST, ELLEN D (DPT)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:D
Last Name:YOST
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CARD MILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03906-5711
Mailing Address - Country:US
Mailing Address - Phone:207-360-1245
Mailing Address - Fax:
Practice Address - Street 1:127 LONG SANDS RD STE 11
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1159
Practice Address - Country:US
Practice Address - Phone:207-361-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021453225100000X
MEPT4417225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist