Provider Demographics
NPI:1376534735
Name:YATES & SEIB, INC.
Entity Type:Organization
Organization Name:YATES & SEIB, INC.
Other - Org Name:DBA PHYSICAL THERAPY SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEIB
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:706-886-3883
Mailing Address - Street 1:100 HAYES ST
Mailing Address - Street 2:P.O. BOX 399
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-2067
Mailing Address - Country:US
Mailing Address - Phone:706-886-3883
Mailing Address - Fax:706-886-3812
Practice Address - Street 1:100 HAYES ST
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-2067
Practice Address - Country:US
Practice Address - Phone:706-886-3883
Practice Address - Fax:706-886-3812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT001906,PT001873261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00817979A, 00817957AMedicaid
GA00817979A, 00817957AMedicaid