Provider Demographics
NPI:1689288540
Name:YUDS, SIMONE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:YUDS
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 1:906 MEBANE OAKS RD
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7951
Mailing Address - Country:US
Mailing Address - Phone:919-563-1825
Mailing Address - Fax:919-563-1833
Practice Address - Street 1:2766 HWY. 68N NW BLDG.
Practice Address - Street 2:UNIT 105
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2726
Practice Address - Country:US
Practice Address - Phone:336-889-7063
Practice Address - Fax:336-889-6474
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225100000X
NCP20885225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist