Individual
TAMARA LYNN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC, M.ED
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 884-4767
(573) 884-9063
Mailing address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 884-4767
(573) 884-9063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2023003922
MO
2255A2300X
Athletic Trainer
Primary
2000150908
MO
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
06/30/2010
Last updated
01/14/2026
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