Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RODERICK ALEXANDER YOUNG, A.T.C L.A.T.
Active Sole ProprietorMR. RODERICK ALEXANDER YOUNG, A.T.C L.A.T. is a Athletic Trainer healthcare provider located in JACKSON, Mississippi. NPI 1962881037 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JACKSON, MS
Registration Details
- NPI Number
- 1962881037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2015 (11.189107828373 yrs)
- Last Updated
- Jun 7, 2016
- License
-
AT0645 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
547 HEATHERWOOD DRJACKSON, MS, 392124707Browse MS providers · Browse ZIP 39212
- Phone
- 6015021815
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MICHAEL M WILKINSON | ATC | 1689655177 |
| MS. DANA LYNN HALE | ATC | 1821018912 |
| MR. RICHEY E. WOODS | ATC | 1881602167 |
| MR. FREDRICK L. ROBINSON | ATC, LAT, MS | 1972620375 |
| STANLEY MCCOLLOUGH JR. | ATC, LAT, MHSA | 1497872253 |
| ERIC HAVER | ATC, LAT, MHSA | 1215054077 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.