Most Relevant Information
Provider Data
| NPI Number: | 1003330978 |
| Provider Name: | JOHNATHAN YEATON |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
33 WINTERGREEN DR
MERRIMACK
NH
030543959
Practice Location Phone/Fax
| Phone: | 6039304713 |
| Fax: |
Provider Mailing Location
33 WINTERGREEN DR
MERRIMACK
NH
030543959
Provider Mailing Phone/Fax
| Phone: | 6039304713 |
| Fax: |