Provider Demographics
NPI:1881284941
Name:YOOS, DARREN MICHAEL (ATC)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:MICHAEL
Last Name:YOOS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 BERKSHIRE WOOD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01259-9743
Mailing Address - Country:US
Mailing Address - Phone:203-598-2353
Mailing Address - Fax:
Practice Address - Street 1:34 DALE RD STE 203
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3659
Practice Address - Country:US
Practice Address - Phone:203-598-2353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer