NPI 1154860161

Taylor Benson, ATCLATEMT

Practitioner Athletic Trainer Norwalk, CT

Practice location

Address: 490 Westport Ave, Norwalk, CT 06851-4424
Phone: (203) 614-9635

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000025287 (CT)

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Registry record

NPI: 1154860161
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2017
Record last updated: 23 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.