Taylor Fumagalli
Specialist/Technologist, Athletic Trainer in Saint Charles, MO. Individual provider (NPI-1).
NPI number1164020335
StatusActive
Last updated in NPPESOct 11, 2020
Details
- NPI
- 1164020335
- Entity type
- Individual (NPI-1)
- Name
- Taylor Fumagalli
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2020
- Certification date
- Oct 11, 2020
- Last updated
- Oct 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1421 Woodstone DrSaint Charles, MO 63304-6866
Phone 314-761-9187
Mailing address
1421 Woodstone DrSaint Charles, MO 63304-6866
Phone 314-761-9187
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All 37 Athletic Trainer providers in Saint Charles · All 2,178 providers in Saint Charles
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