Provider Demographics
NPI:1811392707
Name:YERKES, JOSHUA EVAN (DPT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:EVAN
Last Name:YERKES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 MINOR AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-4241
Mailing Address - Country:US
Mailing Address - Phone:610-316-7529
Mailing Address - Fax:
Practice Address - Street 1:98 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3745
Practice Address - Country:US
Practice Address - Phone:610-316-7529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037891225100000X
WA60575321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6057321OtherWASHINGTON
NY037891OtherLICENSE NUMBER
WA60575321OtherWASHINGTON HEALTH DEPARTMENT