Provider Demographics
NPI:1386361459
Name:YES THERAPY LLC
Entity type:Organization
Organization Name:YES THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COBY
Authorized Official - Middle Name:
Authorized Official - Last Name:THRAILKILL
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:166-098-8490
Mailing Address - Street 1:104 E COOPER ST
Mailing Address - Street 2:
Mailing Address - City:GREEN RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:65332-1025
Mailing Address - Country:US
Mailing Address - Phone:660-988-4902
Mailing Address - Fax:
Practice Address - Street 1:104 E COOPER ST
Practice Address - Street 2:
Practice Address - City:GREEN RIDGE
Practice Address - State:MO
Practice Address - Zip Code:65332-1025
Practice Address - Country:US
Practice Address - Phone:660-988-4902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty