Provider Demographics
NPI:1568289163
Name:YANEZ, CATHERINE (PTA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:YANEZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:SPICER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:250 MCKINLEY DR
Mailing Address - Street 2:
Mailing Address - City:BENNETT
Mailing Address - State:CO
Mailing Address - Zip Code:80102-8609
Mailing Address - Country:US
Mailing Address - Phone:303-919-6265
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD STE 605
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6658
Practice Address - Country:US
Practice Address - Phone:214-257-8740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2159051225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant