Provider Demographics
NPI:1548884661
Name:ROBINSON, YVONNE (LMT)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21070 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HILLMAN
Mailing Address - State:MI
Mailing Address - Zip Code:49746-9085
Mailing Address - Country:US
Mailing Address - Phone:989-742-2567
Mailing Address - Fax:
Practice Address - Street 1:21070 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:HILLMAN
Practice Address - State:MI
Practice Address - Zip Code:49746-9085
Practice Address - Country:US
Practice Address - Phone:989-742-2567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist