MEDICARE: CHASITY YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1629871249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASITY YOUNG

Provider Business Mailing Address
First Line	:	2953 PRESTONWOOD ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-3766
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2953 PRESTONWOOD ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-3766
Country	:	US
Telephone Number	:	702-944-0401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2025
Last Update Date	:	03/29/2025

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Directions to “ CHASITY YOUNG ” Practice Location

Language	Start Address	Practice Location

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