Provider Demographics
NPI:1578155644
Name:HUANG, YU-LUN (PHD, ATC)
Entity Type:Individual
Prefix:
First Name:YU-LUN
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 UNIVERSITY DR.
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54702
Mailing Address - Country:US
Mailing Address - Phone:715-836-3412
Mailing Address - Fax:
Practice Address - Street 1:509 UNIVERSITY DR.
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54702
Practice Address - Country:US
Practice Address - Phone:715-836-3412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2325-392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer