Provider Demographics
NPI:1770743411
Name:YARBROUGH, AUBREY S (PT)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:S
Last Name:YARBROUGH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 STERLINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-3817
Mailing Address - Country:US
Mailing Address - Phone:318-368-3984
Mailing Address - Fax:318-368-3569
Practice Address - Street 1:1409 STERLINGTON HWY
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-3817
Practice Address - Country:US
Practice Address - Phone:318-368-3984
Practice Address - Fax:318-368-3569
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04670225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist