Provider Demographics
NPI:1316027006
Name:YERKES, DARYL (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:DARYL
Middle Name:
Last Name:YERKES
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 442
Mailing Address - Street 2:
Mailing Address - City:APO AE
Mailing Address - State:GERMANY
Mailing Address - Zip Code:09042
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CMR 442
Practice Address - Street 2:
Practice Address - City:APO AE
Practice Address - State:GERMANY
Practice Address - Zip Code:09042
Practice Address - Country:DE
Practice Address - Phone:371-2201
Practice Address - Fax:2575
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2036171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM2036OtherPHYSICAL THERAPY