Individual
KEITH ALAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 N VALLEY VIEW CIR, KINGSPORT, TN 37664-4450
(423) 773-9050
Mailing address
405 N VALLEY VIEW CIR, KINGSPORT, TN 37664-4450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005988
TN
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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