Individual provider · NPI-1
Taylor Cherwinski
Specialist/Technologist, Athletic Trainer · Santa Fe, NM
NPI number1235581968
StatusActive
Last updated in NPPESJul 6, 2016
Details
- NPI
- 1235581968
- Entity type
- Individual (NPI-1)
- Name
- Taylor Cherwinski
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2016
- Last updated
- Jul 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
29 Taylor LoopSanta Fe, NM 87508-4401
Phone 505-470-0006
Mailing address
29 Taylor LoopSanta Fe, NM 87508-4401
Phone 505-470-0006
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