Individual
MR. MICHAEL DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
303 E MAIN ST, COTTAGE GROVE, OR 97424-2032
(541) 767-2750
(541) 767-2751
Mailing address
PO BOX 654, COTTAGE GROVE, OR 97424-0028
(541) 767-2750
(541) 767-2751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4978
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264924
—
OR
Enumeration date
11/08/2005
Last updated
03/19/2013
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