NPI 1003354242

Mitch Taffe, MSATCCSCS

Practitioner Athletic Trainer Bloomington, IN

Practice location

Address: 1001 E 17th St Athletic Training, Bloomington, IN 47408-1590
Phone: (320) 305-1147
Mailing address: 1212 N Grant St APT 6b, Bloomington, IN 47408-1824

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36002707A (IN)

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1003354242
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2017
Record last updated: 8 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.