NPI 1174445365

Lisimba Young

Practitioner Physical Therapy Assistant Jackson, MS

Practice location

Address: 969 Lakeland Dr, Jackson, MS 39216-4699
Phone: (601) 200-2000
Mailing address: 711 Lake Harbour Dr APT 1010, Ridgeland, MS 39157-4305

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7979 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence CP059935A (NC)

Registry record

NPI: 1174445365
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2026
Record last updated: 28 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.