Provider Demographics
NPI:1942437454
Name:YINGER, JESSICA ANNE (DPT, CSCS)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANNE
Last Name:YINGER
Suffix:
Gender:F
Credentials:DPT, CSCS
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:ANNE
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, CSCS
Mailing Address - Street 1:2154 PALOMINO ROAD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-3669
Mailing Address - Country:US
Mailing Address - Phone:717-292-5626
Mailing Address - Fax:717-292-5628
Practice Address - Street 1:2821 EAST PROSPECT RD.
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9213
Practice Address - Country:US
Practice Address - Phone:717-840-1874
Practice Address - Fax:717-840-0968
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019935225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist