Provider Demographics
NPI:1417233859
Name:YEE, KARISSA MAI JUN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KARISSA
Middle Name:MAI JUN
Last Name:YEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 GELLERT BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:84015
Mailing Address - Country:US
Mailing Address - Phone:510-367-3691
Mailing Address - Fax:
Practice Address - Street 1:333 GELLERT BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:84015
Practice Address - Country:US
Practice Address - Phone:650-991-7136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37467225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist