Provider Demographics
NPI:1558444539
Name:YUST, NEIL FRANCIS (PT)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:FRANCIS
Last Name:YUST
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1636 ALEXANDRA DR
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MO
Mailing Address - Zip Code:64836-8714
Mailing Address - Country:US
Mailing Address - Phone:417-359-5508
Mailing Address - Fax:
Practice Address - Street 1:1901 E 32ND ST
Practice Address - Street 2:STE. 8
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3017
Practice Address - Country:US
Practice Address - Phone:417-781-0107
Practice Address - Fax:417-781-0114
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO107380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist