Healthcare Provider Details

I. General information

NPI: 1376407189
Provider Name (Legal Business Name): YOUNG HEALTH CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7136 E 2ND ST STE 101
PRESCOTT VALLEY AZ
86314-2268
US

IV. Provider business mailing address

7136 E 2ND ST STE 101
PRESCOTT VALLEY AZ
86314-2268
US

V. Phone/Fax

Practice location:
  • Phone: 928-772-4044
  • Fax: 928-772-2276
Mailing address:
  • Phone: 928-772-4044
  • Fax: 928-772-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: SCOTT ANDREW YOUNG
Title or Position: OWNER
Credential: DC
Phone: 928-772-4044