Provider Demographics
NPI:1427268820
Name:YI, LIN (PT)
Entity type:Individual
Prefix:MR
First Name:LIN
Middle Name:
Last Name:YI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:LIN
Other - Middle Name:THOMAS
Other - Last Name:YI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2526 AILANI CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552
Mailing Address - Country:US
Mailing Address - Phone:956-423-3656
Mailing Address - Fax:
Practice Address - Street 1:508 VICTORIA LANE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-425-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168969225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist