Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Roderick Alexander Young, ATCLAT

Individual provider Athletic Trainer · NPI 1962881037

Mr. Roderick Alexander Young, ATCLAT is an Athletic Trainer in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
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Practice location Address checks out

547 Heatherwood Dr
Jackson, MS 39212-4707
Phone: (601) 502-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0645 (MS)

Record details

NPI number1962881037
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESJune 7, 2016

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