Provider Demographics
NPI:1295206571
Name:YOUNG, WALTER MILTON IV (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:MILTON
Last Name:YOUNG
Suffix:IV
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1724
Mailing Address - Country:US
Mailing Address - Phone:910-322-2094
Mailing Address - Fax:
Practice Address - Street 1:170 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1644
Practice Address - Country:US
Practice Address - Phone:828-242-0136
Practice Address - Fax:828-258-0431
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP16305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist