Provider Demographics
NPI:1437279049
Name:YOUNG-DENNY, CHRISTINE (MS PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:YOUNG-DENNY
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9125 OAKRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2235
Mailing Address - Country:US
Mailing Address - Phone:515-263-5143
Mailing Address - Fax:515-263-5710
Practice Address - Street 1:1301 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316-2350
Practice Address - Country:US
Practice Address - Phone:515-263-5143
Practice Address - Fax:515-263-5710
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist