Individual
JONATHAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1050 S MAIN ST, PAYSON, UT 84651-3319
(801) 465-6025
Mailing address
1050 S MAIN ST, PAYSON, UT 84651-3319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7523364-4810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7523364-4810
UTAH DIVISION OF PROFESSIONAL LICENSING
UT
Enumeration date
02/12/2019
Last updated
02/12/2019
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