Individual
KRISTY DAWN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
816 FAYETTEVILLE RD, VAN BUREN, AR 72956-3423
(479) 268-2949
Mailing address
PO BOX 1895, WALDRON, AR 72958-1895
(479) 227-0903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1929
AR
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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