Provider Demographics
NPI:1992912034
Name:ADLER, YVONNE M (PT)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:M
Last Name:ADLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WELLSLEY WAY
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-8827
Mailing Address - Country:US
Mailing Address - Phone:270-554-5012
Mailing Address - Fax:
Practice Address - Street 1:252 W. FIFTH STREET
Practice Address - Street 2:
Practice Address - City:LACENTER
Practice Address - State:KY
Practice Address - Zip Code:42056
Practice Address - Country:US
Practice Address - Phone:270-665-5862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001425225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist