Provider Demographics
NPI:1861493975
Name:YUTE, GEORGE MICHAEL (PT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MICHAEL
Last Name:YUTE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-1825
Mailing Address - Country:US
Mailing Address - Phone:724-458-4326
Mailing Address - Fax:724-458-4326
Practice Address - Street 1:501 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1825
Practice Address - Country:US
Practice Address - Phone:724-458-4326
Practice Address - Fax:724-458-4326
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006149L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018719500001Medicaid
PAYU892306OtherBLUE CROSS BLUE SHIELD
PA0018719500003OtherMEDICAL ASSISTANCE
PA0018719500001Medicaid