Provider Demographics
NPI:1700209020
Name:YAKTUS, ANDREA NIELSEN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:NIELSEN
Last Name:YAKTUS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:NIELSEN
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:161 BYERS ROAD
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425
Mailing Address - Country:US
Mailing Address - Phone:610-620-4695
Mailing Address - Fax:855-919-6126
Practice Address - Street 1:161 BYERS ROAD
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425
Practice Address - Country:US
Practice Address - Phone:610-620-4695
Practice Address - Fax:855-919-6126
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023249225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist