Taylor Adam
Specialist/Technologist, Athletic Trainer in Springfield, MO. Individual provider (NPI-1).
NPI number1003380007
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1003380007
- Entity type
- Individual (NPI-1)
- Name
- Taylor Adam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2019
- Last updated
- Jan 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2018032224 | MO | Yes |
Practice location
1634 S Marion Ave Apt B311Springfield, MO 65807-1291
Phone 479-287-5324
Mailing address
1634 S Marion Ave Apt B311Springfield, MO 65807-1291
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