Provider Demographics
NPI:1972300747
Name:DAILEY, YVONNE STELLA (DPT)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:STELLA
Last Name:DAILEY
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:STELLA
Other - Last Name:TALAMANTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2712 BEE CAVES RD STE 122A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5662
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2712 BEE CAVES RD STE 122A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5662
Practice Address - Country:US
Practice Address - Phone:737-234-9618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1405766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist