Provider Demographics
NPI:1609287754
Name:YARKOVOY, ANNA (LMT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:YARKOVOY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31523
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-3025
Mailing Address - Country:US
Mailing Address - Phone:509-425-4313
Mailing Address - Fax:833-335-3079
Practice Address - Street 1:2308 E 57TH AVE # B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-6628
Practice Address - Country:US
Practice Address - Phone:509-425-4314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60419922225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist