Provider Demographics
NPI:1245385384
Name:YAHNE, ROBERT J (PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:YAHNE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:J
Other - Last Name:YAHNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:401 W LACEY BLVD
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4437
Mailing Address - Country:US
Mailing Address - Phone:559-582-2781
Mailing Address - Fax:559-582-5985
Practice Address - Street 1:401 W LACEY BLVD
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4437
Practice Address - Country:US
Practice Address - Phone:559-582-2781
Practice Address - Fax:559-582-5985
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00PT37040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA942296813OtherTAX ID