IndividualActive
Beverly Young, PTA
NPI 1831296862 · Physical Therapy Assistant · Kennett, MO
Provider details
- NPI number
- 1831296862
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 119718 (MO)
Mailing address
211 S 1st St
Hayti, MO 63851-1603
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.