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General NPI Number Information
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NPI Number | 1437034154
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Entity Type | Individual
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Provider Name | KASSIDY YOUNG PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 600 AIR PARK RD
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City | TUPELO
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State | MS
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Zip | 38801-7022
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Country | US
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Telephone | 662-842-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 9235 HIGHWAY 363
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City | MANTACHIE
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State | MS
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Zip | 38855-8362
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Country | US
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Telephone | 662-760-3392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8046
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License Number State | MS
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