| Jennifer Lee Young, PT | |
|
105 Surrey Ave, Council Bluffs, IA 51503-5550 | |
| (712) 310-9118 | |
| Not Available |
| Full Name | Jennifer Lee Young |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 105 Surrey Ave, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053508697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7848 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 2910 (Nebraska) | Secondary |
| 225100000X | Physical Therapist | 105915 (Iowa) | Primary |
| Provider Name | Simply Young Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073194148 PECOS PAC ID: 7214337112 Enrollment ID: O20210615001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lee Young, PT 105 Surrey Ave, Council Bluffs, IA 51503-5550 Ph: (712) 310-9118 | Jennifer Lee Young, PT 105 Surrey Ave, Council Bluffs, IA 51503-5550 Ph: (712) 310-9118 |
Jennifer Nourse, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2306 Sherwood Dr, Council Bluffs, IA 51503 Phone: 712-322-1000 | |
Bridget Epperson, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 928 Valley View Dr, Suite 7, Council Bluffs, IA 51503 Phone: 712-256-1800 | |
Simply Young, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 105 Surrey Ave, Council Bluffs, IA 51503 Phone: 712-310-9118 | |
Tanner Sand, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 Valley View Dr, Council Bluffs, IA 51503 Phone: 712-396-2000 | |
Alisha Baas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329 | |
Ronald Reales, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Elliott St, Council Bluffs, IA 51503 Phone: 712-328-9500 |