Individual
SHANNON M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
PO BOX 4400, ABERDEEN, SD 57402-4400
(605) 622-5000
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
945
ND
225X00000X
Occupational Therapist
Primary
0286
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26336
BLUE SHIELD
ND
05
—
50997
—
ND
01
—
CG3429
RAILROAD MEDICARE
ND
Enumeration date
02/14/2006
Last updated
09/02/2015
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