Healthcare Provider Details

I. General information

NPI: 1295660348
Provider Name (Legal Business Name): DAYLON YOUNT MAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N COLUMBIA AVE
SEWARD NE
68434-1556
US

IV. Provider business mailing address

5245 NW 12TH ST APT 604
LINCOLN NE
68521-4266
US

V. Phone/Fax

Practice location:
  • Phone: 402-643-3651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1330
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: