Individual
ASHLEY LAUREN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 JACKSON BLVD, COLUMBIA, SC 29207-6129
(317) 447-9679
Mailing address
12650 JACKSON BLVD, COLUMBIA, SC 29207-6129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
115086
IA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/21/2022
Last updated
11/29/2023
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