Provider Demographics
NPI:1710003926
Name:YETTER, CHRISTY RACHEL I (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:RACHEL
Last Name:YETTER
Suffix:I
Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:710 CODY RD
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-8830
Mailing Address - Country:US
Mailing Address - Phone:972-878-6227
Mailing Address - Fax:
Practice Address - Street 1:2203 W LAMPASAS ST
Practice Address - Street 2:SUITE 205
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-5644
Practice Address - Country:US
Practice Address - Phone:972-875-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2012-11-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant