Healthcare Provider Details

I. General information

NPI: 1003595745
Provider Name (Legal Business Name): BRENNAN YOUNG PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HOSPITAL AVE
FRANKLIN LA
70538-3725
US

IV. Provider business mailing address

1600 HOSPITAL AVE
FRANKLIN LA
70538-3725
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-7496
  • Fax: 337-828-4557
Mailing address:
  • Phone: 337-828-3600
  • Fax: 337-828-4557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: