Individual
EMILY CATHERINE YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1450 TEJAS TRL, BLANCO, TX 78606-2028
(770) 294-3267
Mailing address
1450 TEJAS TRL, BLANCO, TX 78606-2028
(770) 294-3267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14232
TX
111NN0400X
Neurology Chiropractor
010036
GA
Other
Enumeration date
06/27/2018
Last updated
10/16/2020
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