NPI 1053386474

Sally Ann Young, ATCL

Practitioner Contractor Fort Wayne, IN

Practice location

Address: 3946 Ice Way, Fort Wayne, IN 46805-1018
Phone: (260) 266-4007

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 36000029A (IN)

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Registry record

NPI: 1053386474
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2006
Record last updated: 21 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.