Provider Demographics
NPI:1598356859
Name:YONI'S PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:YONI'S PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOUNI
Authorized Official - Middle Name:
Authorized Official - Last Name:MANTYLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:810-991-1426
Mailing Address - Street 1:747 SADDLE CLUB LN
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-7195
Mailing Address - Country:US
Mailing Address - Phone:517-404-2835
Mailing Address - Fax:
Practice Address - Street 1:1732 N OLD US 23
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-7193
Practice Address - Country:US
Practice Address - Phone:810-991-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy