Provider Demographics
NPI:1861732885
Name:SAVARISE, YVONNE C (PT, DPT)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:C
Last Name:SAVARISE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 S 900 E STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-5755
Mailing Address - Country:US
Mailing Address - Phone:208-610-8180
Mailing Address - Fax:
Practice Address - Street 1:6717 S 900 E STE 201
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-5755
Practice Address - Country:US
Practice Address - Phone:801-649-4690
Practice Address - Fax:801-984-4011
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT275293-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist