Provider Demographics
NPI:1508980038
Name:YEE, CURTIS WILLIAM (PT)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:WILLIAM
Last Name:YEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9456 CORNERKICK PL
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-3633
Mailing Address - Country:US
Mailing Address - Phone:916-862-1493
Mailing Address - Fax:
Practice Address - Street 1:9456 CORNERKICK PL
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-3633
Practice Address - Country:US
Practice Address - Phone:916-862-1493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT15934225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist