Individual
DR. THRESA M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
201 S KIBLER ST, NEW WASHINGTON, OH 44854
(419) 492-2129
(419) 492-3344
Mailing address
PO BOX 325, 201 SOUTH KIBLER ST, NEW WASHINGTON, OH 44854
(419) 492-2129
(419) 492-3344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131591
ANTHEM
—
05
—
0867736
—
OH
Enumeration date
05/01/2007
Last updated
05/29/2008
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