IndividualActive
Jordan Young, LAT, ATC
NPI 1942852652 · Athletic Trainer · Burlington, VT
Provider details
- NPI number
- 1942852652
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 104.0133922 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
789 Pine St
Burlington, VT 05401-4933
Phone: (802) 264-1052
Approximate (ZIP-level) locationGet directions
Mailing address
3031 Slack St
West Danville, VT 05873-9734
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2019-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.