Individual
JENNIFER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
650 N STATE ST STE 5, SHELLEY, ID 83274-4900
(208) 221-4677
(208) 209-6079
Mailing address
650 N STATE ST STE 5, SHELLEY, ID 83274-4900
(208) 221-4677
(208) 209-6079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8589
ID
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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