NPI 1033660121

Tatiana Burrough

Practitioner Athletic Trainer Jacksonville, FL

Practice location

Address: 291 Mill St W, Jacksonville, FL 32234-1307
Phone: (916) 804-8657
Mailing address: 6282 Autumn Berry Cir, Jacksonville, FL 32258-8413

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL4276 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1033660121
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

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.