Jonathan Todd Youngblood
Physical Therapist Sports Medicine
9301 N Central Expy Ste 500
Dallas
, Texas 75231-0805
Jonathan Todd Youngblood
Physical Therapist Sports Medicine
9301 N Central Expy Ste 500
Dallas
, Texas 75231-0805
(806) 683-0711
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About
Features
Specialties
- Sports Medicine
- Physical Therapist
Languages spoken
- English
Location
First Address
- Jonathan Todd Youngblood
- 9301 N Central Expy Ste 500
- Dallas, TX
- Zip : 75231-0805
- Phone : (806) 683-0711
Second Address
- Jonathan Todd Youngblood
- 9301 N Central Expy Ste 500
- Dallas, TX
- Zip : 75231-0805
- Phone : (214) 220-2468
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081S0010X | Sports Medicine | 1309236 | TX |
| N | 213ES0000X | Sports Medicine | 1309236 | TX |
| Y | 225100000X | Physical Therapist |
National Provider Identifier
| NPI | 1518574789 |
|---|---|
| Provider Name | Jonathan Todd Youngblood |
| First Address | Dallas, TX 75231-0805 |
| Second Address | Dallas, TX 75231-0805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2020 |
| Last Update Date | 14/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.