Provider Demographics
NPI:1114530151
Name:YADON, HEATHER (PT, DPT, PRPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:YADON
Suffix:
Gender:F
Credentials:PT, DPT, PRPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10727 OWENS CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3554
Mailing Address - Country:US
Mailing Address - Phone:908-455-0518
Mailing Address - Fax:
Practice Address - Street 1:300 EXEMPLA CIR STE 240
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2906
Practice Address - Country:US
Practice Address - Phone:303-689-6580
Practice Address - Fax:303-689-6588
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty