Provider Demographics
NPI:1487742219
Name:YOUNGER, CHER (MS, ATC, LAT, NBCT)
Entity type:Individual
Prefix:MRS
First Name:CHER
Middle Name:
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:MS, ATC, LAT, NBCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 CEDAR FIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-9097
Mailing Address - Country:US
Mailing Address - Phone:336-643-8627
Mailing Address - Fax:
Practice Address - Street 1:5400 CEDAR FIELD DR
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:NC
Practice Address - Zip Code:27358-9097
Practice Address - Country:US
Practice Address - Phone:336-643-8627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer