Provider Demographics
NPI:1336789395
Name:YARDLEY, ABIGAIL (RRT)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:YARDLEY
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:TRUKSHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:20410 W 88TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-8200
Mailing Address - Country:US
Mailing Address - Phone:913-961-8377
Mailing Address - Fax:
Practice Address - Street 1:20410 W 88TH TER
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-8200
Practice Address - Country:US
Practice Address - Phone:913-961-8377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019016700227900000X
KS16-05152227900000X
CORTL.0005657227900000X
MTRCP-RCP-LIC-7361227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered