# SHANNON M YOUNG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003880402
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 945 | ND | — |
| 225X00000X | Occupational Therapist | 0286 | SD | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 09/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26336 | BLUE SHIELD | ND |
| 05 | — | 50997 | — | ND |
| 01 | — | CG3429 | RAILROAD MEDICARE | ND |