MEDICARE: CHRISTOPHER K YOUNG MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6103	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639100563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER K YOUNG MPT

Provider Business Mailing Address
First Line	:	1716 E MORELOS ST
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-2245
Country	:	US
Telephone Number	:	480-703-3114
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 E RAY RD
Second Line	:	SUITE 104
City	:	GILBERT
State	:	AZ
Zip	:	85296-4429
Country	:	US
Telephone Number	:	480-855-5542
Fax Number	:	480-855-5756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/19/2008

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Directions to “ CHRISTOPHER K YOUNG MPT” Practice Location

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