Provider Demographics
NPI:1477376580
Name:YONKE, KAITLYN (MT-BC)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:YONKE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4226 S ELDRIDGE ST APT 206
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1084
Mailing Address - Country:US
Mailing Address - Phone:303-999-5753
Mailing Address - Fax:
Practice Address - Street 1:4226 S ELDRIDGE ST APT 206
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-1084
Practice Address - Country:US
Practice Address - Phone:303-999-5753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist