Individual
RANDALL ETHAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1635 HIGDON FERRY RD STE G, HOT SPRINGS, AR 71913
(501) 525-2273
(501) 525-1773
Mailing address
1635 HIGDON FERRY RD STE G, HOT SPRINGS, AR 71913-6904
(501) 525-2273
(501) 525-1773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4540
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4540
ARKANSAS PHYSICAL THERAPY BOARD
AR
Enumeration date
08/22/2018
Last updated
08/22/2018
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