Provider Demographics
NPI:1376036962
Name:DAVID A. YATES & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DAVID A. YATES & ASSOCIATES, LLC
Other - Org Name:JP&O PROSTHETIC & ORTHOTIC LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP OF LICENSURE & ACCREDITATION
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-777-0825
Mailing Address - Street 1:PO BOX 9303
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-9303
Mailing Address - Country:US
Mailing Address - Phone:870-932-6436
Mailing Address - Fax:870-932-3934
Practice Address - Street 1:4500 S. DIXIELAND RD.
Practice Address - Street 2:STE 102
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8126
Practice Address - Country:US
Practice Address - Phone:479-319-4543
Practice Address - Fax:479-319-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier