| Doctor Name: | DR. BRIAN YOUNG |
| NPI Number: | 1457339889 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DSC |
| License Number: | 05005082A |
| Business Practice Address: | 2501 Capehart Rd 55 Mdos/sgom Offutt A F B, NE - 681131043 |
| Business Phone Number: | 4022948509 |
| Business Fax Number: | |
| Mailing Address: | 2501 Capehart Rd, 55 Mdos/sgom OFFUTT A F B |
| State: | NE |
| Postal Code: | 681131043 |
| Phone Number: | 4022948509 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2006 |
| NPI Last Update Date: | 03/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 05005082A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |