Provider Demographics
NPI:1710116660
Name:YOUNG, SALINA RENEE (RRT)
Entity Type:Individual
Prefix:
First Name:SALINA
Middle Name:RENEE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8625 W MARKHAM ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2312
Mailing Address - Country:US
Mailing Address - Phone:501-219-1829
Mailing Address - Fax:501-223-3180
Practice Address - Street 1:8625 W MARKHAM ST
Practice Address - Street 2:SUITE C
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2312
Practice Address - Country:US
Practice Address - Phone:501-219-1829
Practice Address - Fax:501-223-3180
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARRCP-29772278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation