MR. RODERICK ALEXANDER YOUNG A.T.C L.A.T.
NPI 1962881037
Specialist/Technologist - Athletic Trainer in Jackson, MS

Active since May 22, 2015
547 HEATHERWOOD DR, JACKSON, MS 39212(601) 502-1815 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About RODERICK YOUNG

This page provides the complete NPI Profile along with additional information for Roderick Young, a provider established in Jackson, Mississippi with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1962881037 assigned on May 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AT0645 (MS). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1962881037 Verify this NPI
Provider Name
MR. RODERICK ALEXANDER YOUNG A.T.C L.A.T.
Gender
Male
Entity Type
Individual
Location Address
547 HEATHERWOOD DR JACKSON, MS 39212
Location Phone
(601) 502-1815
Mailing Address
547 HEATHERWOOD DR JACKSON, MS 39212
Mailing Phone
(601) 502-1815
Is Sole Proprietor?
Yes
Enumeration Date
05-22-2015
Last Update Date
06-07-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AT0645
License State
MS
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962881037, enumerated as an "individual" on May 22, 2015.

The provider is located at 547 HEATHERWOOD DR JACKSON, MS 39212 and the phone number is (601) 502-1815.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.