Individual provider · Type 1 NPI

Sally Ann Young, A.T.C.-L

Contractor · Fort Wayne, IN

NPI number 1053386474 Active

Practice location

3946 Ice Way
Fort Wayne, IN 46805-1018

Call (260) 266-4007 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X36000029A (IN)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1053386474

Sally Ann Young, A.T.C.-L's National Provider Identifier is 1053386474, issued on Feb 20, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 21, 2026.