Provider Demographics
NPI:1417204793
Name:YAPYAPAN, JOAN (PT, COMT,FAAOMPT,CLT)
Entity Type:Individual
Prefix:MISS
First Name:JOAN
Middle Name:
Last Name:YAPYAPAN
Suffix:
Gender:F
Credentials:PT, COMT,FAAOMPT,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27115 MILITARY RD S STE A
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-7009
Mailing Address - Country:US
Mailing Address - Phone:206-499-4210
Mailing Address - Fax:206-826-1996
Practice Address - Street 1:27115 MILITARY RD S STE A
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7009
Practice Address - Country:US
Practice Address - Phone:206-765-6600
Practice Address - Fax:206-826-1996
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008800225100000X
UT7192064-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist