Provider Demographics
NPI:1487474722
Name:YERMO, MERCY EVELYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:EVELYN
Last Name:YERMO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6076 S COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-3347
Mailing Address - Country:US
Mailing Address - Phone:830-688-0753
Mailing Address - Fax:
Practice Address - Street 1:6076 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-3347
Practice Address - Country:US
Practice Address - Phone:830-688-0753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0020147225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist