Provider Demographics
NPI:1023486487
Name:YASSON, RAYMOND MICHAEL III (PT, DPT, CSCS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:MICHAEL
Last Name:YASSON
Suffix:III
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 Q ST SW APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3406
Mailing Address - Country:US
Mailing Address - Phone:631-806-3554
Mailing Address - Fax:
Practice Address - Street 1:1525 HALF ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3412
Practice Address - Country:US
Practice Address - Phone:631-806-3554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist