Individual
KELLY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
396 LAKE NEPESSING RD., LAPEER, MI 48446-2910
(810) 667-1962
(810) 667-9350
Mailing address
396 LAKE NEPESSING RD, LAPEER, MI 48446-2910
(810) 667-1962
(810) 667-9350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002637
MI
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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