Provider Demographics
NPI:1306183603
Name:DODSON, YAKISHA S (RRT)
Entity Type:Individual
Prefix:MS
First Name:YAKISHA
Middle Name:S
Last Name:DODSON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1229
Mailing Address - Country:US
Mailing Address - Phone:973-375-4621
Mailing Address - Fax:
Practice Address - Street 1:87 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1229
Practice Address - Country:US
Practice Address - Phone:973-375-4621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered