NPI 1013419696

Jacob Kaine Yates, PTA

Practitioner Physical Therapy Assistant Novi, MI

Practice location

Address: 47601 Grand River Ave, Novi, MI 48374-1233
Phone: (248) 465-4100
Mailing address: 10487 Runyan Lake PT, Fenton, MI 48430-2499

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1013419696
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2018
Record last updated: 28 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.