National Provider Identifier
Jim Carl Tamala Yu, PTA, PT
Jim Carl Tamala Yu, PTA, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Farmington, NY and a listed phone number of (585) 353-1254.
Profile Overview
- NPI
- 1952018269
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 04, 2022
- Last Updated
- November 04, 2022
Practice Location
- 5994 Ivory Dr.
- Farmington, NY 14425
Phone: (585) 353-1254
Specialties
- Physical Therapist (225100000X)
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1952018269
- Entity Type
- Individual
- Last Name
- Yu
- First Name
- Jim Carl
- Middle Name
- Tamala
- Credential
- PTA, PT
- Mailing Street Address
- 5994 Ivory Dr.
- Mailing City
- Farmington
- Mailing State
- NY
- Mailing ZIP Code
- 14425
- Mailing Country
- US
- Mailing Phone
- (585) 353-1254
- Practice Street Address
- 5994 Ivory Dr.
- Practice City
- Farmington
- Practice State
- NY
- Practice ZIP Code
- 14425
- Practice Country
- US
- Practice Phone
- (585) 353-1254
- Enumeration Date
- November 04, 2022
- Last Updated
- November 04, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapy Assistant (225200000X)