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Contact Information

TAMARA L YOUNG, ATC, OTC, M.ED
1100 VIRGINIA AVE
COLUMBIA, MO65212-0001
 Phone: 573-884-4767
 Fax: 573-884-9063
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TAMARA L YOUNG · (Female)

NPI Number 1912218355
Status Active
Credentials ATC, OTC, M.ED
Entity Individual
Enumeration date 06/30/2010
Last updated 01/14/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2000150908
  • MO License # 2023003922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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