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Search › Georgia › 225200000X

Kenneth Youngblood, PTA

NPI 1023226933 · on the registry since 2007

Practice

Address
136 West Dykes Street
Cochran, GA 31014
Phone
(478) 934-8801
Fax
(229) 868-2175
Organisation at this address
Taylor Regional Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia