Individual
JUSTIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
3101 NEW LONDON CT APT 510, LAFAYETTE, IN 47909-5312
(906) 360-9977
Mailing address
3101 NEW LONDON CT APT 510, LAFAYETTE, IN 47909-5312
(906) 360-9977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003184A
IN
Other
Enumeration date
03/13/2015
Last updated
01/13/2020
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