Provider Demographics
NPI:1801949441
Name:YOST, BONNIE ANNE (PT, LCCE)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:ANNE
Last Name:YOST
Suffix:
Gender:F
Credentials:PT, LCCE
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7120 E ORCHARD RD
Mailing Address - Street 2:STE. 110
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1731
Mailing Address - Country:US
Mailing Address - Phone:303-850-7717
Mailing Address - Fax:303-850-7517
Practice Address - Street 1:7120 E ORCHARD RD
Practice Address - Street 2:STE. 110
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1731
Practice Address - Country:US
Practice Address - Phone:303-850-7717
Practice Address - Fax:303-850-7517
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1602225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist