Provider Demographics
NPI:1063645562
Name:YOUNT, DAVID JUSTIN (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JUSTIN
Last Name:YOUNT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DENALI LN
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-5947
Mailing Address - Country:US
Mailing Address - Phone:828-289-6337
Mailing Address - Fax:
Practice Address - Street 1:30 DENALI LN
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-5947
Practice Address - Country:US
Practice Address - Phone:828-289-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist