Individual ProviderChisa YearwoodPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1905 Leary Ln, Victoria, TX 77901-2818(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Chisa Yearwood does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245415223Provider TypeIndividualFull NameYearwood, ChisaCredentialLPTGenderFemaleSole ProprietorNoEnumeration Date1/8/2008Last Updated1/8/2008Contact InformationPractice LocationPractice Address1905 Leary Ln, Victoria, TX 77901-2818Phone(361) 573-0731Fax(361) 576-4804Mailing LocationMailing Address1905 Leary Ln, Victoria, TX 77901-2818Phone(361) 573-0731Fax(361) 576-4804Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1058337Texas