Individual
JORDAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
789 PINE ST, BURLINGTON, VT 05401-4933
(802) 264-1052
Mailing address
3031 SLACK ST, WEST DANVILLE, VT 05873-9734
(802) 535-9643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0133922
VT
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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