Healthcare Provider Details

I. General information

NPI: 1093239667
Provider Name (Legal Business Name): BRITTANY PAIGE YOUNG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 07/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 YANCEYVILLE ST STE 400
GREENSBORO NC
27405-6945
US

IV. Provider business mailing address

175 S ENGLISH STATION RD STE 218
LOUISVILLE KY
40245-4199
US

V. Phone/Fax

Practice location:
  • Phone: 336-274-7480
  • Fax: 336-274-8903
Mailing address:
  • Phone: 502-882-9379
  • Fax: 502-805-0526

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: