Provider Demographics
NPI:1386814812
Name:YOUNG, LINDSEY RENEE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:RENEE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 E PONY LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-5617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:835 W WARNER RD
Practice Address - Street 2:SUITE 101-473
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7269
Practice Address - Country:US
Practice Address - Phone:480-636-6475
Practice Address - Fax:480-247-2833
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77712251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics