NPI 1083081715

Taylor Witzel, LATATC

Practitioner Athletic Trainer Des Moines, IA

Practice location

Address: 450 Laurel Street, Des Moines, IA 50314
Phone: (515) 323-6485
Mailing address: 1262 Office Park Rd Apartment 5, West Des Moines, IA 50265-2494

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 079137 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1083081715
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2015
Record last updated: 28 Aug 2015

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.