Provider Demographics
NPI:1275089856
Name:T YAMADA GROUP
Entity Type:Organization
Organization Name:T YAMADA GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:TESS
Authorized Official - Last Name:YAMADA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-577-9977
Mailing Address - Street 1:5191 S. YOSEMITE ST.
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3360
Mailing Address - Country:US
Mailing Address - Phone:303-577-9977
Mailing Address - Fax:303-694-4341
Practice Address - Street 1:5191 S. YOSEMITE ST.
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3360
Practice Address - Country:US
Practice Address - Phone:303-577-9977
Practice Address - Fax:303-694-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty