Individual
KACEY W YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8230 HAZELBRAND RD NE, SUITE A, COVINGTON, GA 30014-1518
(770) 788-7034
Mailing address
170 BLUE GRASS WAY, OXFORD, GA 30054-4070
(770) 403-9006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009083
GA
Other
Enumeration date
07/12/2007
Last updated
04/11/2011
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