Doctor Name: | LORI YOUNG |
NPI Number: | 1417189200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 103408 |
Business Practice Address: | 2700 Mc Clelland Blvd Joplin, MO - 648041623 |
Business Phone Number: | 4177812727 |
Business Fax Number: | |
Mailing Address: | 3402 Sunset Dr S, JOPLIN |
State: | MO |
Postal Code: | 648041397 |
Phone Number: | 4175290688 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2009 |
NPI Last Update Date: | 08/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 103408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |