NPI 1053964148

Stephen Andrew Taylor, AT

Practitioner Athletic Trainer Washington, DC

Practice location

Address: 4665 Blue Plains Dr SW, Washington, DC 20032-5202
Phone: (202) 645-6669
Mailing address: 625 E Monroe Ave APT 210, Alexandria, VA 22301-3023

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000007101 (OH)

Other Specialist/Technologist providers in District of Columbia →

Registry record

NPI: 1053964148
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2019
Record last updated: 18 Jul 2019

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.