Individual
NANCY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
460 MEDICAL PARK DR, SUITE 105, LENOIR CITY, TN 37772-5782
(865) 988-3925
(865) 988-6986
Mailing address
460 MEDICAL PARK DR, SUITE 105, LENOIR CITY, TN 37772-5782
(865) 988-3925
(865) 988-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5518
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3653166
—
TN
01
—
4281759
BLUECROSS BLUESHIELD
TN
Enumeration date
10/13/2010
Last updated
03/16/2011
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