Jordan Robert Yakich

Individual provider Emergency Care Registered Respiratory Therapist · NPI 1598351173

Jordan Robert Yakich is an Emergency Care Registered Respiratory Therapist in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in: WI
In the registry since: 2020
Specialties on file: 2

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Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (262) 853-6947

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary)	Taxonomy 2255A2300X (WI)
Emergency Care Registered Respiratory Therapist	Taxonomy 2279E0002X (WI)

Record details

NPI number	1598351173
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	December 17, 2020
Last updated in NPPES	December 17, 2020
Certification date	December 17, 2020
Mailing address	7833 State Road 38, Caledonia, WI 53108-9607