NPI 1023747094

Malcolm Taylor, ATC

Practitioner Athletic Trainer Gibson City, IL

Practice location

Address: 1120 N Melvin St, Gibson City, IL 60936-1477
Phone: (217) 784-4251
Mailing address: 1615 Lyndhurst Dr APT E, Savoy, IL 61874-9228

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1023747094
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2022
Record last updated: 6 Jun 2022

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.