Young Performance Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

87912941202 Issued in UT

Legal business name

YOUNG PERFORMANCE CENTER LLC

Practice address

4568 S Highland Dr
Suite 150
Salt Lake City, UT 84117-4263

Phone

(817) 542-1017

NPI assigned

Jul 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Blake Young, D.C., R.N.

Title

Owner/ Chiropractor

Phone

(817) 542-1017

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1437534831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 E QUAIL PARK DR",
            "address_2": "APT H",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177903",
            "telephone_number": "817-542-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR",
            "address_2": "SUITE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174263",
            "telephone_number": "817-542-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PERFORMANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "817-542-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., R.N."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "87912941202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Worth Yost, MD
• Jennie You
• Seth Youkstetter, PA-C
• Young Health & Wellness
• Young Minds Therapy
• Alan Young, AU.D.
• Alexia Catherine Young
• Amberley Young
• Ariel A Young
• Austin Kyle Young

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.