Healthcare Provider Details

I. General information

NPI: 1366378861
Provider Name (Legal Business Name): SEUNGHO YOU DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 ROSLER WAY
MIDDLETOWN DE
19709-3374
US

IV. Provider business mailing address

613 ROSLER WAY
MIDDLETOWN DE
19709-3374
US

V. Phone/Fax

Practice location:
  • Phone: 765-409-6195
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0015202
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: