Individual
GINGER MICHELLE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6513 W HEARTH FALLS DR, ROGERS, AR 72758-4182
(479) 763-5113
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1145910
TX
225100000X
Physical Therapist
Primary
PT3065
AR
2251X0800X
Orthopedic Physical Therapist
1145910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1205
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/06/2006
Last updated
04/04/2023
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