Provider Demographics
NPI:1245443738
Name:YARROW WELLNES AND REHABILITATION
Entity type:Organization
Organization Name:YARROW WELLNES AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRIE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-451-3739
Mailing Address - Street 1:2070 SILVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4136
Mailing Address - Country:US
Mailing Address - Phone:281-451-3739
Mailing Address - Fax:281-545-1850
Practice Address - Street 1:2070 SILVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4136
Practice Address - Country:US
Practice Address - Phone:281-451-3739
Practice Address - Fax:281-545-1850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty